Session 5.6 - Dermatology - Case A Flashcards
This is an original referral letter from a healthcare professional in primary care The aim of this course is to: a - apply knowledge to clinical situations b - see real life situations c - use the knowledge gained from the Body Logistics lecture d - prepare for your exams
QUESTION 1
What additional information would help you diagnose this rash?
a.
Family history of eczema, hay fever or asthma
b.
Family history of bacterial infections of skin
c.
Family history of viral infections of skin
d.
Family history of fungal infections of skin
e.
Family history of psoriasis
a.
Family history of eczema, hay fever or asthma
(A - Due to history of allergies.
b, c and d - Infections are not genetic.
e - The history is not really in keeping with psoriasis.)
QUESTION 2
What is your diagnosis?
a.
Atopic eczema
b.
Impetigo
c.
Herpes Simplex infection
d.
Fungal infection
e.
Psoriasis
a.
Atopic eczema
(A - due to hx
b - impetigo is contagious so parents would have it
c - appears on mouth or genitals
d - hx would be different
e - hx and examination would be different)
QUESTION 3
Which function/s of the skin are affected when this rash is widespread?
a.
Barrier
b.
Thermoregulation
c.
Water loss
d.
Immunological
e.
All of the above
e.
All of the above
(E - these are all functions of the skin which are lost in inflammatory conditions such as eczema (LOF is the 5th cardinal sign))
QUESTION 4
Looking at the list of medications, what key topical treatment is missing?
a.
Topical emollient
b.
Topical corticosteroid
c.
Topical antibacterial
d.
Oral antibiotics
e.
Oral antihistamine
b.
Topical corticosteroid
(a - already prescribed B - MISSING, v effective in severe eczema c - unnecessary? d - topical antibiotics first e - already prescribed)
QUESTION 5
What is the most common reason why eczema patients are not prescribed enough of that key topical treatment?
a.
Busy clinics so no time to prescribe it
b.
Healthcare professionals are worried it might thin the skin (steroid phobia)
c.
Topical antibacterials are not effective
d.
They might contribute to antibiotic resistance
e.
Cost
b.
Healthcare professionals are worried it might thin the skin (steroid phobia)
(a - not an issue B - correct c - not the treatment d - potentially e - no?)
QUESTION 6
What management would you suggest for this child?
a. Skin swabs (bacterial and viral)
b.
Avoid soap and use an antiseptic emollient to wash with
c.
Topical corticosteroid
d.
Topical and, if needed, Oral antibiotics
e.
All of the above
e.
All of the above
