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bullous impetigo: diagnosis and management: Diagnosis Etiology • Caused by Staphylococcus aureus (exfoliative toxin-producing strains). Clinical Features • Lesions: Flaccid bullae that rupture easily → leave erythematous base with yellow crust. • Distribution: Common on face, trunk, buttocks, intertriginous areas. • Age group: Most common in infants and young children. • Symptoms: May have itching, tenderness, mild systemic symptoms (fever, malaise). • Complications: R...

1. Differential Diagnoses A. Refractive / Ocular Surface Causes • Refractive errors (myopia, hyperopia, astigmatism, presbyopia). • Dry eye syndrome → fluctuating vision, burning, irritation. • Corneal abrasion / keratitis → pain, photophobia, foreign body sensation. • Cataracts → gradual, painless vision loss; glare/halos at night. B. Retinal Causes • Diabetic retinopathy → blurred vision, floaters, dark spots. • Macular degeneration (AMD) → central vision distort...

Diagnosis History • Symptoms: Redness, purulent/mucopurulent discharge (“eyes stuck shut” in morning), foreign body sensation, mild irritation. • Usually starts in one eye, can spread to the other. • Often no significant pain or vision loss (distinguish from keratitis, uveitis). Physical Exam • Conjunctival injection (diffuse redness). • Thick, yellow/green discharge that reappears quickly after wiping. • Eyelid edema, crusting on lashes. • No corneal involvement (fluo...

assessing and managing atopic dermatitis (AD) in both adults and children: Assessment of Atopic Dermatitis Clinical Features • Pruritus: Essential diagnostic feature. • Eczema-like lesions: o Infants/children: Face, scalp, extensor surfaces. o Older children/adults: Flexural surfaces (antecubital, popliteal fossae), neck, hands. • Chronic/relapsing course: Periods of flares and remission. • Skin findings: Erythematous papules/plaques, lichenification, excoriations, oozing, cr...