Exam (elaborations)
Dermatology Clinical Questions with complete solution 2024.
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Clin Med Derm
Dermatology Clinical Questions with complete solution 2024.
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Clin Med Derm
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Clin Med Derm
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Dermatology Clinical Questions with
complete solution 2024
A j3-year-old jboy jwho jweighs j14 jkg jpresents jwith ja j2-week jhistory jof jsevere
jitching jall jover jthe jbody jthat jis jmore jsevere jat jnight. jPhysical jexamination
jreveals jgray jthread-like jserpentine jlines jwith jpapules jat jthe jends. jThere jis ja
jgeneralized jpapular jand jpapulovesicular jrash jwith jfew jpustules. jThe jlesions
jare jmore jconfluent jbetween jthe jwebs jof jthe jfingers jand jtoes jand jon jthe jflexor
jsurface jof jthe jwrists, jaxilla, jgenitalia, jfeet, jand jbuttocks. jScrapings jfrom jthe
jskin jshow jan jarthropod jwith jfour jpairs jof jlegs, jhemispheric jbody, jand jbrown
jspines jand jbristles jon jthe jdorsal jsurface.
What jis jthe jtreatment jchoice? j- jANS✓✓-Permetherin j5% jcream j
(scabies)
A j50-year-old jwoman jhas jhad ja jfacial jrash jand ja j10-year jhistory jof jreddening
jof jher jface jthat jcomes jand jgoes. jOn jphysical jexam, jyou jnote jerythema,
jtelangiectasia, jred jpapules, jand jtiny jpustules jon jboth jcheeks.
What jis jthe jmost jlikely jdiagnosis? j- jANS✓✓-Rosacea
A j21-year-old jman jpresents jwith jitchy jskin jchanges. jHe jworks jas ja jlifeguard.
jAbout ja jweek jago, jhe jnoticed ja jround jred jpatch jon jhis jbelly jthat jspread jto jhis
jtrunk jand jlegs. jHe jdenies jrecent jinfections, jallergies, jand jillnesses; jhe jdoes
jnot jtake jany jmedications, jand jhe jadmits jthat jhe joccasionally jsmokes
jmarijuana. jThe jrest jof jhis jpersonal jand jfamily jhistory jis jnon-contributory. jOn
jexamination, jyou jfind jround jannular jscaly jpruritic jpapulosquamous jchanges
jon jhis jtorso jand jlegs. jThere jare jno jchanges jon jhis jmucosa, jand jthe jrest jof
jphysical jexamination jis jwithin jnormal jlimits.
What jis jthe jnext jstep jin jmaking jthe jdiagnosis? j- jANS✓✓-KOH jprep jwith
jmicroscopy j
(tinea jcorporis)
A j33-year-old jwoman jpresents jto jthe joffice jwith jmultiple jvesicles jwith
jassociated jintense jitching jon jher jhands jand jfeet. jHer jpast jmedical jhistory jis
, jnegative. jThe jpatient jis ja jwaitress jwho jtakes jno jmedication jand jdoes jnot jwork
jwith jchemicals. jThe jvesicles jare jtense jwith jsome jscales. jThere jis jno jerythema
jor jinitial jincidence jof jitching. jThe jvesicles jhave jresponded jwell jto ja jlimited
jtreatment jwith ja jhigh jsteroid jcream.
What jis jthe jmost jlikely jdiagnosis? j- jANS✓✓-Dyshidrotic jeczema
A j5-year-old jboy jpresents jwith jan jerythematous jskin jrash jassociated jwith
jintense jitching. jThe jboy's jmother jhas jnoticed jthat jher json's jrash jhas jbeen
jrecurrent, jwith j3-4 jepisodes jper jyear. jThe jitching jand jrash jincreases jafter
jconsumption jof jcertain jfoods. jOn jexamination, jerythematous jraised jpapules
jare jseen jon jthe jcheek, jtrunks, jand jupper jarms.
What jis jmost jlikely jassociated jwith jthe jboy's jcondition? j- jANS✓✓-asthma j
(atopic jdermatitis)
An j83-year-old jwoman jis jcurrently jin ja jnursing jhome jfollowing ja jshort
jhospitalization jfor ja jCVA. jShe jexperienced ja jthromboembolic jstroke j2 jweeks
jago, jwhich jresulted jin jright jhemiparesis jand jdysphagia. jOther jmedical
jproblems jinclude jcongestive jheart jfailure, jatrial jfibrillation, josteoarthritis, jand
jdepression. jThe jnursing jstaff jcontacts jyou jto jreports ja jsacral jpressure julcer
jmeasuring j3 jx j2 jcm. jOn jphysical jexamination, jthere jappears jto jbe jinterruption
jof jthe jepidermis jwith jan jabrasion. jThe jlesion jis jclean; jthere jis jno jcellulitis.
After jwound jcleansing, jwhat jis jthe jmost jappropriate jstep? j- jANS✓✓-Moist
jdressings
A j10-year-old jgirl jpresents jwith jher jmother jand jreports j"really jbad jdandruff
jthat jitches jlike jcrazy." jThe jchild jstates jthat jall jof jher jfriends jat jschool jhave jit
jtoo. jUpon jphysical jexamination jof jthe jhair jand jscalp, jyou jnote jnumerous joval
jgrayish-white jsesame jseed jcapsules j1-2 jmm jin jsize jdeposited jon jthe jhair jshaft
jnear jthe jscalp. jSmall jred jbumps jand jsores jon jthe jscalp jappear jto jbe jdue jto
jthe jpatient jscratching.
What jis jthe jmost jlikely jdiagnosis? j- jANS✓✓-Pediculosis
An j82-year-old jman jpresents jfor jevaluation jof jan jitchy jhive-like jrash jon jhis
jabdomen. jHe jhas jhad jit jfor jmonths. jOver jthe jlast jfew jdays, jthe jpatient jreports
jthe jcharacter jof jthe jrash jhas jchanged; jit jnow jresembles jblisters. jOther jthan
jsome jskin jirritation, jhe jfeels jhealthy. jHe jhas jtried jmultiple jover-the-counter
jtopical jtreatments, jbut jthey jhave jbeen junsuccessful jin jtreating jthe jrash. jHe
jdenies jany jchanges jin jsoaps, jlotions, jlaundry jdetergents, jor janything jelse jthat
jmay jhave jcome jin jcontact jwith jhis jskin. jHe jalso jdenies junusual jtravel, jpets,
jor jhobbies. jNo jclose jcontacts jhave jreported ja jsimilar jcondition. jHe jtakes jno
jmedications, jand jhe jdoes jnot jhave jany jchronic jillnesses.