Common Derm Flashcards
Describe ‘seborrhoeic warts’ aka ‘seborrhoeic keratoses’
Greasy or crusty spots which seem stuck on the skin, usually dark brown or black in colour. Usually round, but can be oval.
When do seborrhoeic warts start to appear?
After the age of 40
Are seborrhoeic warts familial?
They can be
Are seborrhoeic warts malignant?
No, they are benign skin changes with age.
When would a seborrhoeic keratoses be removed?
- If they itch
- If they interfere with clothing or jewellery
- If they are unsightly
What are the two ways a seborrhoeic keratoses can be removed?
- Using a curette - freezing the skin with local anaesthetic then scraping off the wart with a curette
- Liquid nitrogen
What approach do we take when assessing a pigmented leison?
A-F approach
What are the categories of the A-G approach from Melanoma UK?
ALL WORRYING SIGNS A - asymmetry B - border; uneven? C - colour; 2< colours D - diameter, >5mm E - elevation; if it is raised F - firm; firm or solid G - growing; signs of change
What is the NICE 7 point checklist for suspected melanoma?
If patients’ score 3< on the NICE 7 point checklist for melanoma, this is when a 2ww referral is necessary.
What are the MAJOR features of the NICE 7 point-checklist for suspected melanoma?
EACH SCORE 2 POINTS
- Change in size
- Irregular shape
- Irregular colour
What are the MINOR features for the NICE 7 point checklist for suspected melanoma?
EACH SCORE 1 POINT
- Largest diameter 7mm<
- Inflammation
- Oozing
- Change in sensation
How many points on the NICE checklist to patients’ have to score to get a 2ww referral to dermatology?
3 or more
How long does a GP have to refer patients on a 2ww pathway?
The patient should be referred within 24 hours
What is a common description for a seborrhoeic keratoses?
Chocolate chip appearance
What percentage of adults over the age of 60 have 1 or more Seborrhoeic keratoses?
90%
