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OSCE > Dermatology > Flashcards

Dermatology Flashcards

1
Q

When taking a dermatological history, what aspects should be explored?

A
  • Presenting complaint
  • History of presenting complaint
  • Past medical history
  • Family history
  • Social history
  • Drug history
  • Quality of life impact
  • ICE
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2
Q

What aspects of the presenting complaint should be explored?

A
  • Nature (rash/lesion)
  • Site
  • Duration and changes
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3
Q

What aspects of the history of the presenting complaint should be explored?

A
  • Initial appearance and evolution
  • Symptoms (particularly itch/pain)
  • Aggravating and relieving factors
  • Previous and current treatments
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4
Q

What aspects of the past medical history should be explored?

A
  • Systemic diseases
  • History of atopy
  • Skin cancer
  • Sunburn/sun-bed use
  • Skin type
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5
Q

What are the atopic conditions?

A
  • Asthma
  • Eczema
  • Hay-fever
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6
Q

What system can be used to analyse skin type?

A

Fitzpatrick skin types

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7
Q

What aspects of family history should be explored?

A
  • Family history of skin disease (e.g. psoriasis)
  • Family history of atopy
  • Family history of autoimmune disease (e.g. alopecia, vitiligo)
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8
Q

What aspects of social history should be explored?

A
  • Occupation
  • Sun exposure
  • Exposure to chemicals
  • Improvement of symptoms when away from work
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9
Q

What aspects of a drug history should be explored?

A
  • Regular and recent drugs
  • Systemic and topical treatments used
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10
Q

How should the use of topical treatments be explored?

A
  • Where applied?
  • How much?
  • How long for?
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11
Q

How should quality of life impact and ICE be explored?

A
  • Impact of skin on life
  • Ideas Concerns Expectations
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12
Q

When examining the skin what parts should be examined?

A

All sites, including:

  • Nails
  • Mucosa
  • Hair
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13
Q

How should a dermatological examination be conducted?

A
  • Inspect
  • Palpate
  • Describe
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14
Q

When palpating the skin, what should be assessed?

A
  • Flat/raised
  • Rough/smooth
  • Warmth
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15
Q

What mnemonic can be used to describe the skin?

A
  • S - site and distribution/size and shape
  • C - colour
  • A - associated changes
  • M - morphology
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16
Q

How can colour be described?

A
  • Erythema (blanching redness)
  • Purpura (red or purple non-blanching)
  • Pigmented/hyperpigmented (brown/black)
  • Hypopigmented
17
Q

What colour change is this?

(And what is the lesion)

A

Erythema

(Erythema migrans)

18
Q

What colour change is this?

A

Purpura

19
Q

What colour change is this?

(What skin change is this?)

A

Hyperpigmentation

Acanthosis Nigricans

20
Q
A

OSCE (19 decks)

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