Dermatological assessment Flashcards

1
Q

Questions to ask about rashes

A
one site or many
site
spread
duration
associated symptoms
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2
Q

Questions to ask about lesions

A

single or many

changing colour, size, shape, associated symptoms

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3
Q

PMH questions

A

eczema
previous skin cancer
medical illnesses relevant to diagnosis or management

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4
Q

DH

A
acne and steroids 
immunosuppression 
drugs/creams
current treatment
does it work
how long have they used it for 
how much have they used
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5
Q

SH

A
occupation - contact dermatitis
hobbies - increased sun exposure 
psychological impact of skin condition 
sun beds
skin type
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6
Q

FH

A

psoriasis
eczema
atopy
skin cancer

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7
Q

Describing a lesion

A

1) Observe general distribution and site
2) local configuration - grouped or annular
3) colour
4) shape
5) size

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8
Q

Examination

A
general inspection - well?
general distribution of rash 
start with hands
nail changes - pitting oncolyisis 
anterior arms
ask patient to put arms behind head - backs of arms and axilla
scalp - through hair and behind ears
face
inside mouth - severe drug eruptions 
chest and abdomen
back
genitals
legs
feet and toe nails - finger and toe webs fungal infections, melanomas 
palpate 
temperature
surface texture
depth 
blanching or not 
lymph nodes if lymphoma suspected
pulses if venous ulcer
joint exam in psoriasis
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