Dermatology Flashcards Preview

3/4: YX - GP Block > Dermatology > Flashcards

Flashcards in Dermatology Deck (74)
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1

When taking a dermatological history, what aspects should be explored?

Presenting complaint History of presenting complaint Past medical history Family history Social history Drug history Quality of life impact and ICE

2

What aspects of the presenting complaint should be explored?

Nature (rash/lesion) Site Duration and changes

3

What aspects of the history of the presenting complaint should be explored?

Initial appearance and evolution Symptoms (particularly itch/pain) Aggravating and relieving factors Previous and current treatments

4

What aspects of the past medical history should be explored?

Systemic diseases History of atopy Skin cancer Sunburn/sun-bed use Skin type

5

What are the atopic conditions?

Asthma Eczema Hay-fever

6

What system can be used to analyse skin type?

Fitzpatrick skin types

7

What aspects of family history should be explored?

Family history of skin disease (e.g. psoriasis) Family history of atopy Family history of autoimmune disease (e.g. alopecia, vitiligo)

8

What aspects of social history should be explored?

Occupation Sun exposure Exposure to chemicals Improvement of symptoms when away from work

9

What aspects of a drug history should be explored?

Regular and recent drugs Systemic and topical treatments used

10

How should the use of topical treatments be explored?

Where applied? How much? How long for?

11

How should quality of life impact and ICE be explored?

Impact of skin on life Ideas Concerns Expectations

12

When examining the skin what parts should be examined?

All sites, including: Nails Mucosa Hair

13

How should a dermatological examination be conducted?

Inspect Palpate Describe

14

When palpating the skin, what should be assessed?

Flat/raised Warmth

15

What mnemonic can be used to describe the skin?

S - site and distribution/size and shape C - colour A - associated changes M - morphology

16

How can colour be described?

Erythema (blanching redness) Purpura (red or purple non-blanching) Pigmented/hyperpigmented (brown/black) Hypopigmented

17

How can a lesion/rash’s morphology be described?

Macule Papule Patch Plaque Nodule Vesicle Pustule Bulla Annular Wheal Discoid Comedone

18

How does a macule feel on palpation?

Flat

19

How does a papule feel on palpation?

Raised but in a small area

20

How does a patch feel on palpation?

Flat but in a large area

21

How does a plaque feel on palpation?

Raised, but broader than it is high

22

How does a nodule feel?

Like a papule but >1cm

23

What is a vesicle?

A clear fluid filled lesion

24

What is a pustule?

A pus filled lesion

25

What is a bulla?

A large fluid filled lesion

26

What shape is an annualar lesion?

Ring shaped

27

What presents with a wheal?

Urticaria

28

What shape is a discoid lesion?

Coin shaped

29

What forms can a comedone come in?

Open (black head) Closed

30

How can pigmented lesions be assessed?

A - asymmetry B - border C - colour D - diameter E - evolution