Derm History Taking and Eczema Management

Question 1

What does SOCRATIES stand for in dermatology history taking?

Answer 1

Site,
Onset,
Character,
Radiation/evolution,
Associated symptoms,
Time,
Exacerbating/relieving factors,
Severity.

Question 2

What are the important areas to ask about in dermatology history taking ?

Answer 2

• Skin type, history of sun burn, sun bead use, any recent travel, atopy, asthma, rhinitis, history of skin cancer and any immunosuppression, occupational exposure

Question 3

What are the four main principles of skin examinations?

Answer 3

Inspect - symmetry
Describe - SCAM: site, colour, associated change, morphology
Palpation - surface, consistency, mobility, tenderness, temperature
Systematic check -lymphadenopathy, nails, general exam

Question 4

For pigmented lesions remeber ABCD… what does this stand for?

Answer 4

• Asymmetry,
• irregular Boarder,
• 2 or more Colours within the lesion,
• Diameter > 7mm

Question 5

What are some common triggers for eczema?

Answer 5

• Soap and water,
• Fragrance,
• Temperature,
• Sweat,
• Clothing,
• Pollen,
• House dust mites,
• Animals,
• Food

Question 6

What is the advice surrounding bathing with eczema

Answer 6

Once daily for less than 20mins. Apply emollient before and after bath.

Question 7

Name an example of a mild steroid

Answer 7

Hydrocortisone 0.5%

Question 8

Name an example of a moderate steroid and areas you should not apply on.

Answer 8

Eumovate. DO not apply to eyelids

Question 9

Name an example of a potent steroid cream and the areas you should not apply on

Answer 9

Betnovate. Do no apply on face, groin, armpits, genitals or children (without export advice)

Question 10

Name an example of a very potent steroid cream and the areas you should not use it on

Answer 10

Dermovate. Do not use on face, groin, armpits, genitals, children or on psoriasis
Only ever apply a thin layer of steroid cream. Either before or after emollient but wait 20-30mins between each layer