Search results for "Dermatology"
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 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: Evaluation for mosquito bites
A 21-year-old woman is evaluated for mosquito bites on her arms and legs that she received 1 week ago that she has been scratching regularly. One of the bites on her left thigh is now painful with a small amount of drainage. She otherwise feels well, has no significant medical history, and takes no medications. A weeping red papule with overlying honey-colored crust is present on the anterior left thigh. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2017/05/23/3.htm
23 May 2017
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: 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: 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
MKSAP Quiz: Decreased exercise tolerance
A 62-year-old woman is evaluated for a 4-month history of decreased exercise tolerance, joint stiffness, mild weakness, and a rash on her hands. She has noted increasing difficulty carrying heavy objects and feels exhausted after climbing stairs. Although her joints are stiff, she has not had any joint swelling. Her rash developed around the time of her other symptoms and has not responded to over-the-counter topical agents. She has no other symptoms, including cough or dyspnea. Medical history is unremarkable, and she takes no medications. Follow a physical exam, cardiopulmonary exam, and lab studies, which of the following pulmonary conditions is associated with this patient's clinical presentation?.
https://immattersacp.org/archives/2016/05/mksap.htm
1 May 2016
MKSAP Quiz: 2-week history of a rash on face and midchest
A 32-year-old man is evaluated for a 2-week history of a rash on his face and midchest. He describes the rash as consisting of small, reddish “lumps” that are intensely itchy; they develop and begin to resolve with development of new lesions. He otherwise feels well. Medical history is significant for a recent diagnosis of HIV infection. Following a physical exam and lab studies, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/04/12/3.htm
12 Apr 2016
MKSAP Quiz: slowly enlarging 1-cm plaque
A 53-year-old woman is evaluated for a slowly enlarging, telangiectatic, pearly, ulcerated 1-cm plaque on the left temple. It bleeds periodically when traumatized. Medical history is significant for atrial fibrillation. She takes warfarin daily. She is otherwise in good health. Following a physical exam, cardiac exam, and biopsy of the lesion, what is the most appropriate treatment for this lesion?
https://immattersacp.org/weekly/archives/2016/01/26/3.htm
26 Jan 2016
MKSAP Quiz: examining a laceration on a finger
This week's quiz asks readers to determine the most likely diagnosis for a 72-year-old man who develops itching and redness 2 days after cutting his finger.
https://immattersacp.org/weekly/archives/2015/11/17/4.htm
17 Nov 2015