1 - Derm - Introduction + Examination -Derm Hx and Describing

Question 1

HPC - general Hx questions

Answer 1

when first noticed?
how changed?
prev treatment? success?
systemic symptoms? fever, wt loss, fatigue, sore throat, anorexia

Question 2

HPC - derm specific questions

Answer 2

distribution?
spread? how spreading?
associated Sx - discharge, bleeding, scaling? pain, itch, altered sensation?
triggers - UV light, food, temp, substances?

Question 3

PMH - 3 parts

Answer 3

previous skin problems
atopy - asthma hayfever
DM, conn tiss disease, IDB

Question 4

DH - questions

Answer 4

any coinciding with complaint
any OTC?
creams and soaps used?
allergies?

Question 5

FH…of??

Answer 5

atopy, eczema, psoriasis, skin cancers

Question 6

SH - 3 parts

Answer 6

psychosocial impact
occupation, hobbies, living conditions
recent travel and sun exposure

Question 7

Describing an eruption - framework?

Answer 7

DCM -distribution, configuration, morphology

Question 8

DSM - distribution points

Answer 8

where?
extensor/flexor?
symmetrical?
dermatomal?
light exposed areas?
peripheral?

Question 9

DSM - configuration points

Answer 9

solitary?
clustered?
grouped? -> linear, arciform, annular (circle), target, gyraate, serpiginous

Question 10

DSM - morphology points?

Answer 10

colour, nature of surrounding/central skin

secondary features

Question 11

Describing a lesion …

Answer 11

A - asymmetry
B - borders
C - colour
D - diameter
E - elevation, everything else (change in size, other features,eg telangiectasia)

Question 12

Palpation - what to note

Answer 12

tenderness
temperature (use back of hand)
depth/height/spread
mobility/attachment