By Rachael Morris-Jones
A 23-year-old African Caribbean lady provides within the emergency division with an acute onset facial rash. in the course of preliminary review she complains of a week heritage of normal malaise, fatigue, fever, and weight reduction. you've been assigned her examination...
100 situations in Dermatology provides a hundred situations with a dermatological manifestation as a rule obvious by means of clinical scholars and junior medical professionals. A succinct precis of the patient's heritage, exam and preliminary investigations, together with complete color photos exhibiting presentation, is through questions about the prognosis and administration of every case. the reply encompasses a targeted dialogue on every one subject, with additional representation the place applicable, offering a necessary revision relief in addition to a pragmatic advisor for college students and junior doctors.
Making scientific judgements and selecting the easiest plan of action is among the such a lot not easy and tough elements of teaching to turn into a physician. those situations will train scholars and junior medical professionals to acknowledge very important dermatological indicators and symptoms and, the place applicable, their dating to different health conditions, and to increase their diagnostic and administration skills.
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Extra info for 100 Cases in Dermatology
48 CASE 23: ACUTE-ONSET EXTENSIVE BLISTERING AND SKIN NECROSIS WITH MUCOUS MEMBRANE INVOLVEMENT History A 34-year-old woman who was 24 weeks pregnant developed sudden-onset sore eyes, mouth and genitalia associated with blisters on her skin. She was admitted to hospital by the obstetricians who referred her to the on-call dermatologist. The patient was diagnosed with HIV at antenatal screening and had been commenced on HAART (highly active antiretroviral therapy) – Combivir and nevirapine – 2 weeks ago.
Other photodermatoses should be excluded in the first instance. 34 CASE 16: ACUTE-ONSET LINEAR BLISTERING ON THE LEGS History A 33-year-old woman presents with a sudden-onset blistering rash on her legs. On closer questioning she reports no recent history of travel or contact with animals. She recently moved into new accommodation and has been clearing an overgrown garden over the past few days. She has been clearing weeds by hand but wore garden gloves and borrowed a strimmer from a friend to cut through long grass.
The chronicity of this condition and the frequent occlusion of applied medications in these patients contribute to the high risk of allergic contact dermatitis to preservatives in medications and/or to the active ingredients in topical medications. Although neomycin penetrates intact skin poorly, it is an important cause of allergic contact dermatitis when applied to patients with venous stasis/ulceration. It is used surprisingly frequently despite the lack of documentation of its efficacy in the treatment of stasis ulcers.