Diff Diagnosis (skin cases pics- may be graphic)

Question 1

A 21 y/o male college student needs help with persistent itching under his knees and elbows

Answer 1

Atopic dermatitis

Question 2

Answer 2

Diaper dermatitis

Question 3

Answer 3

Sunburn

Question 4

MF, a 28 yo man, comes to you to ask about a severe case of recurring dandruff with itching and flaking scalp. There are yellow, oily scales and redness around his nose.

Answer 4

Seborrhea

Question 5

60 year old woman comes into the pharmacy (Texas in September) with a facial skin rash as shown in the photo. She has been clearing her garden of summer vegetables and spending extra time in the sun over the past few days. She denies any involvement of the eye region.

Answer 5

Rosacea

Papulopustular rosacea

subtype 2

Question 6

A 13 year old girl and her mother come into your pharmacy and ask you for information about acne treatment.

The girl washes her face several times a day but continues to have many outbreaks that consist of many whiteheads and blackheads and some papules and pustules

Answer 6

Moderate acne

Question 7

A mom comes into the pharmacy with her 2 month old son, she pulls off his knit cap and shows you a scalp that has crusty lesions that extend into the forehead area.

Answer 7

Seborrhea (“cradle cap”)

Question 8

Answer 8

Dandruff

(Scaly Dermatoses)

Question 9

Answer 9

Psoriasis

Question 10

• A 52 year old female, comes into the pharmacy to pick up her refills for enalapril & hydrochlorothiazide.
• She shows you two approximately 2 cm plaques on the ulnar surface of each elbow, they are covered with whitish silvery scales.
• DC states that these are new and appeared over the past week.
• Current meds: Enalapril / HCTZ
• NKDA
• DC also tells you that 15 years ago she was treated for psoriasis with tar and steroid creams for a couple of months, with good results
• No ongoing problems with psoriasis until now
• She cannot get an appointment with a dermatologist for 8 weeks
• She asks your advice about what she can do in the meantime

Answer 10

Psoriasis (elbow)

Question 11

Identify: _________ ________ (subtype _)

Eye Irritation

Watery or bloodshot appearance, irritation, burning or stinging

Answer 11

Ocular Rosacea

Rosacea subtype 4

Question 12

Identify: _________ ________ (subtype _)

Skin thickening and enlargement, usually around the nose

Answer 12

Phymatous rosacea

subtype 3

Question 13

Identify: _________ ________ (subtype _)

Bumps and pimples

Persistent facial redness with bumps or pimples.

Answer 13

Papulopustular rosacea

subtype 2

Question 14

Identify: _________ ________ (subtype _)

Facial redness.

Flushing and persistent redness. Visible blood vessels may also appear.

Answer 14

Erythematotelangiectatic rosacea

subtype 1

Question 15

Identify: _________ ________ (subtype _)

Answer 15

phymatous rosacea

Question 16

Answer 16

Seborrheic dermatitis

Question 17

Answer 17

Severe acne

Question 18

Answer 18

eczema

aka atopic dermatitis

Question 19

Candidate for self treatment?

Answer 19

No