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Common Dermatology in General Practice

Common things are common. RashesDERMATITISITCHINGRemember ICE- patients ideas, concerns and expectations are as important in Dermatology? MENNINGITIS- this is always a concern with children who gets the slightest mark on themSENILE PRURITIS- really common in elderly- moisturise th

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Common Dermatology in General Practice

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    1. Common Dermatology in General Practice Heidi Fahy December 16th 2009

    2. Common things are common Rashes DERMATITIS ITCHING Remember ICE- patients ideas, concerns and expectations are as important in Dermatology ? MENNINGITIS- this is always a concern with children who gets the slightest mark on them SENILE PRURITIS- really common in elderly- moisturise thoroughly and regularly.

    3. eczema

    4. UNDER- TREATMENT is the main problem for eczema STEROIDS ARE SAFE- should be used- reassure patients. EMOLLIENTS- tonnes of it. Find the most suitable by trying different brands. SOAP SUBSTTIUTES not soap or bubble bath BATH OILS- essential .a good oily soak. Slippage problem 0especially in the elderly. ALLERGY TESTING- pretty useless unless specific concern or unusual patches- eg: dorsum of hand. FOOD ALLERGY- maybe in children- need dietician if excluding lots of essential foods.

    5. Encourage taking responsibility for own problem. Take control- better outcome.

    6. Remember- don’t assume anything

    7. acne

    8. Acne rosacea

    9. Rhinophyma

    10. psoriasis

    11. Complications of psoriasis

    12. FIGURE 1. Psoriasis of the natal cleft.* FIGURE 2. Psoriatic arthritis affecting the metacarpo-phalangeal and proximal interphalangeal joints, hence mimicking rheumatoid arthritis.* FIGURE 3. There may be very few joints affected in psoriatic arthritis.* FIGURE 4. Enthesitis of the Achilles tendon.* FIGURE 5. Dactylitis of the second and third toes. FIGURE 6. Distal interphalangeal disease with nail involvement, the latter cleverly (partly) concealed by nail varnish.

    13. Seborrhoeic dermatitis

    14. Mollouscum contagiosum

    15. Molluscum contagiosum –think AIDS if widespread and in genital areas

    16. Campbell de morgan- harmless

    17. Spider Naevi

    18. Shingles. Remember pain preceeds rash often

    19. Solar keratosis

    20. Erythema nodosum

    21. Scabies

    23. Pityriasis Rosea- Herald patch

    24. Pityriasis versicolor

    25. Seborrhoeic Dermatitis

    26. BCC OR KERATOACANTHOMA?

    28. chondrodermatitis nodularis helicis

    29. urticaria

    30. Tinea

    31. Erythrasma

    32. Impetigo

    33. Melasma

    34. Dermatofibroma

    35. Dermatofibroma v melanoma

    36. Frank Sinatra with Temporal Arteritis- (kidding)

    37. Raynaud’s

    38. Meningitis rash

    39. Bowen’s disease

    41. Cafe au lait spot

    42. Neuorfibroma

    43. Severe case type II

    45. Erythema multiforme

    46. This young man with bilateral sore eyes had this lesions on his lips. a.What is the diagnosis? b. List the possible causes for these lesions.

    47. Steven-Johnson's Infections such as herpes simplex, infectious mononucleosis mycopalsma Drugs such as sulphonamide phenytoins

    48. Remeber- skin doesn’t always behave like the text books. This is a superficial spreading melanoma- on histology

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