Case type questions Flashcards
a child presents with 2 day history of pyrexia and a red rash that is more prominent in the flexures
his skin is tender and has now starting to slough off
he has no recent history of any medications
what is the most likely diagnosis?
staphylococcal scalded skin syndrome
a patient presents with a 5 hours history of an erythematous rash that has central swelling
the rash itches and sometimes burns
what is the most likely diagnosis?
how would you treat it?
acute urticaria
treat with anti histamines
short course of oral steroid
a middle aged woman presents with pyrexia and lots of blisters on her face and axilla areas, and some of the blisters have started to burst.
what is the most likely diagnosis?
what causes this condition?
how would you treat the patient?
pemphigus vulgaris
caused by autoimmune attack of the desmosomes
treat with systemic steroids and dress the erosions
an 80 year old lady presents with a large contained area of deep blisters which are intact.
the skin around the rash has also started to slough off.
she feels otherwise well.
what is the most likely diagnosis?
what causes this condition?
how would you treat the patient?
pemphigoid vulgaris
autoimmune destruction of the demo-epidermal junction
treat with topical steroids (systemic steroids if diffuse)
a patient has presented with a sudden onset of lesions all over his palms and inside his mouth.
the lesions are circular, red macules with some of them blistering in the middle.
what is the most likely diagnosis?
what causes this condition?
how would you treat it?
erythema multiforme
hypersensitivity reaction triggered by HSV or mycoplasma pneumoniae
usually resolves spontaneously within 2 weeks, may treat symptomatically or underlying cause
a 2 year old boy presents erythematous with pyrexia, mouth ulcerations and lesions/ blisters.
10% of his skin has sloughed off.
his mother mentions that he was recently started on antibiotics for a chest infection.
what is the most likely diagnosis?
what causes this condition?
how would you treat it?
steven johnson syndrome
drug reaction to antibiotics, anticonvulsants, allopurinol, NSAIDS, chemotherapy
treat by stoping the drug and supportive therapy with high dose steroids.
A 30 year old patient presents with blushing when she drinks a hot drink. She also has bother with a red face, particularly her nose.
What is the most likely diagnosis?
What are the treatment options?
Vascular rosacea
Metronidazole cream or gel
A 80 year old man complains of a red face that has a bumpy appearance.
What is the most likely diagnosis?
What causes this condition?
Phymatous rosacea
Overgrowth of sebacceous glands
A patient presents complaining of having a red face. On examination she has some papules and pistules but there are no comededones.
Whjat is the most likely diagnosis?
Inflammatory rosacea
