Dermatology

Question 1

I can’t get rid of these hives

Answer 1

GA
Recheck HR, RR
HEENT: Inspect for swelling, penlight, tongueblade
SKIN: Face, neck, trunk, back, extremities, lesions: blanch?
PULM: Accessory muscles? Auscultate A/P/L
CV: Cap refill, auscultate

Question 2

This rash is making me crazy

Answer 2

GA
Recheck RR
HEENT: Inspect eyes, nostril patency, nasoscopy
Skin: Face, scalp, UE, beltline, LE, trunk/back
PULM: Ausc A/P/L + posterior forced exp.
CV: Cap refill, auscultate

Question 3

My wife made me check these rough, scaly spots

Answer 3

GA
SKIN: Scalp/lesions, ear, nose, eyes, lips, neck, sun-exposed areas (UE, chest), elbow and knee extensors, nails (pitting?)

Question 4

Yellowish bumps on my knees

Answer 4

GA
Recheck BP
HEENT: Arcus senilis? fundo
CV: Ausc (bell/dia), bruits (carotid, aortic, renal, iliac, femoral), pulses (UE/LE)
ABD: Hepatomegaly?
SKIN: Eyes, knees, buttocks, creases, palms, tendons