Search results for "Dermatology"
MKSAP Quiz: ‘Sun allergy’
A 62-year-old woman is evaluated for a “sun allergy,” manifesting as a rash on her scalp, eyelids, upper back, and knuckles. This started 2 years ago, but is less pronounced over the winter months. Her only medication is hydrocortisone cream. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2018/11/06/3.htm
6 Nov 2018
An eye for art among medical students
A medical resident drew upon her artistic background to help create a course to improve observational skills of first-year medical students by having them systematically observe works of art.
https://immattersacp.org/archives/2018/11/an-eye-for-art-among-medical-students.htm
1 Nov 2018
MKSAP Quiz: New lesion on the side of the face
A 44-year-old man is evaluated for a new lesion on the side of his face. It has been present for several months and is asymptomatic. When he shaves he cuts it, and it starts bleeding. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/11/mksap-quiz-new-lesion-on-the-side-of-the-face.htm
1 Nov 2018
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: 1-month history of rash
A 52-year-old woman is evaluated for a 1-month history of a spreading rash on her back, chest, and arms. She has been using over-the-counter topical glucocorticoids without relief. She does not have any other associated symptoms and otherwise feels well. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/archives/2018/09/mksap-quiz-1-month-history-of-rash.htm
1 Sep 2018
MKSAP Quiz: Slow-growing genital lesions
A 34-year-old man is evaluated for several slow-growing, wart-like penile lesions that have progressively enlarged over 3 years. Repeated topical cryotherapy and topical imiquimod have yielded no improvement. The patient has HIV infection and is taking tenofovir, emtricitabine, and efavirenz. There are no other skin findings, and vital signs and the remainder of the physical examination are normal. After obtaining laboratory studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2018/06/26/3.htm
26 Jun 2018
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
Bringing medicine back to the bedside
The physical exam itself is widely considered to be underutilized, but many of the country's medical educators and master clinicians are determined to bring it back to prominence.
https://immattersacp.org/archives/2018/02/bringing-medicine-back-to-the-bedside.htm
1 Feb 2018
MKSAP Quiz: Evaluation of a firm, darkly pigmented papule
A 50-year-old man is evaluated for a firm, darkly pigmented papule on his back that has been growing steadily over a period of several months. The skin lesion is a 0.5-cm darkly pigmented, raised plaque with irregular borders and inconsistent coloration. A skin biopsy is performed and shows malignant melanoma on pathologic examination. What is the primary feature used to determine prognosis?
https://immattersacp.org/weekly/archives/2017/12/05/3.htm
5 Dec 2017
MKSAP Quiz: 6-week history of blisters
A 55-year-old man is evaluated for a 6-week history of blisters on his hands. The blisters are tender, break easily after they develop, and occur in different regions on the backs of his hands. Medical history is notable for alcoholic liver disease. The patient does not use tobacco but drinks 6 beers daily. He takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2017/09/mksap-quiz-6-week-history-of-blisters.htm
1 Sep 2017