Search results for "Dermatology"


 
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MKSAP quiz: 2-week history of rash on face, midchest

This week's quiz asks readers to determine the most likely diagnosis for a 32-year-old man evaluated for a 2-week history of a rash on his face and midchest consisting of small, reddish, intensely itchy “lumps.”
https://immattersacp.org/weekly/archives/2017/08/29/4.htm
29 Aug 2017

MKSAP Quiz: Evaluation for erythema and tenderness

A 71-year-old man is evaluated for erythema and tenderness of the left lower leg for 1 week's duration. This is the second similar episode of the left lower leg. The last episode was 2 months ago. He was previously treated successfully with antibiotics. Following tissue findings on a physical exam and starting antibiotics, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/12/08/3.htm
8 Dec 2020

MKSAP Quiz: Acute worsening of atopic dermatitis

A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. Following a physical exam, what is the most likely cause of this patient's acute flare?
https://immattersacp.org/weekly/archives/2018/03/20/3.htm
20 Mar 2018

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2020/02/latest-updates-on-acps-priorities-initiatives.htm
1 Feb 2020

MKSAP Quiz: Evaluation for a superficial skin infection

A 20-year-old male college student on the wrestling team is evaluated for a superficial skin infection. He has a history of several episodes of folliculitis and furunculosis over the past year that has required systemic treatment. His recurrent infections were treated with various oral antibiotics, including cephalexin, clindamycin, and trimethoprim-sulfamethoxazole. He currently takes no medications, has no drug allergies, and is otherwise in good health. There are multiple, scattered erythematous papulopustules and nodules on the buttocks and upper thighs, some with a collarette of scale. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/06/06/3.htm
6 Jun 2017

MKSAP Quiz: counseling regarding skin cancer prevention

A 32-year-old woman is evaluated at a well-patient visit. Both her parents have a history of nonmelanoma skin cancer within the past year, and she is seeking counseling regarding skin cancer prevention. She has a history of remote sunburns and had previously tanned as a teenager. She requests advice on how to approach sun protection to limit both future skin cancer risk as well as to prevent wrinkles and cosmetic photodamage. Following a physical exam, what is the most appropriate advice for this patient?
https://immattersacp.org/weekly/archives/2016/10/25/3.htm
25 Oct 2016

MKSAP Quiz: itching lasting 5 months

A 53-year-old man is evaluated for whole-body itching lasting 5 months that is not improved by a short course of emollients and antihistamine medication. Review of systems is negative. He does not take any medications. On physical examination, excoriations are noted on his legs, shoulders, and back; the remainder of the examination is normal. After normal results on laboratory tests, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/02/07/3.htm
7 Feb 2017

MKSAP Quiz: Persistent itching, odor of the feet

A 19-year-old man is evaluated for 4 to 5 months of persistent itching, thickening of the skin, and odor of the feet. He also has hyperhidrosis of the palms and soles. Medical history is otherwise unremarkable, and he takes no medications. Following a physical exam and skin scrapings, what is the most likely diagnosis?
https://immattersacp.org/archives/2020/03/mksap-quiz-persistent-itching-odor-of-the-feet.htm
1 Mar 2020

MKSAP Quiz: Intermittent pruritic rash of 8 years

A 32-year-old man is evaluated for an intermittent pruritic rash of 8 years' duration. Medical history is significant for mild persistent asthma. His only medications are an albuterol inhaler and an inhaled glucocorticoid. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2018/09/18/3.htm
18 Sep 2018

MKSAP Quiz: evaluation for very dry, painful hands

A 34-year-old woman is evaluated for very dry, painful hands. She works in a daycare center and washes her hands 15 to 20 times daily, often for 2 to 3 minutes at a time. She has been applying lotion multiple times daily with no relief of the pain. She has a history of obsessive-compulsive disorder and takes no medications. In addition to decreasing the frequency of hand washing, what is the most appropriate therapy?
https://immattersacp.org/weekly/archives/2016/07/26/3.htm
26 Jul 2016

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