Search results for "Dermatology"
MKSAP Quiz: Multiple areas of scaling
A 62-year-old woman is evaluated for multiple areas of scaling and rough skin on her forehead and cheeks, the backs of her hands, and forearms. These areas are painless but persist despite application of moisturizer. She is in good overall health and takes no medications. She has a history of multiple sunburns. On physical examination, vital signs are normal. Skin findings are shown. The remainder of the physical examination is unremarkable. What is the most likely diagnosis?.
https://immattersacp.org/archives/2015/10/mksap.htm
1 Oct 2015
MKSAP Quiz: burning sensation, increasing redness, and lesions
A 52-year-old woman had a burning sensation involving the right side of her forehead and the tip of her nose for 2 days, followed by increased redness and the development of lesions involving the tip of her nose. Medical history is significant for hypertension, and her only medication is ramipril. Following a physical exam and starting antiviral medications, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2015/09/29/3.htm
29 Sep 2015
MKSAP Quiz: intensely pruritic rash on eyelids
A 27-year-old woman is evaluated for a 1-week history of an intensely pruritic rash on her eyelids. She applied a new brand of eye makeup just prior to the onset of the rash. She immediately discontinued its use and has been applying a moisturizing lotion to both eyelids since then without improvement in her symptoms. Following a physical exam, what 2-week course of medicine is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2015/08/11/3.htm
11 Aug 2015
MKSAP Quiz: evaluation for a laceration on the leg
An 80-year-old woman is evaluated for a laceration on her leg. On the previous day, she hit the corner of her bed, tearing the skin. She would like recommendations regarding wound care. Medical history is remarkable for polymyalgia rheumatica for which she takes prednisone daily. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2015/06/30/3.htm
30 Jun 2015
MKSAP Quiz: persistent rash for 6 years' duration
A 66-year-old man is evaluated for a persistent rash for 6 years' duration. The rash waxes and wanes in severity, and it becomes pruritic only after he becomes hot and sweating, such as when he mows the lawn or exercises. It has always been limited to his back and lower chest. He has never treated it. The patient is otherwise well, has no other medical problems, and takes no medication. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2015/03/03/3.htm
3 Mar 2015
MKSAP Quiz: rash on hands present for 6 weeks
A 40-year-old woman is evaluated for a rash on her hands that has been present for 6 weeks. This rash comes and goes throughout the year and has been present for many years, but never as severe as it is now. She also experiences itchy skin on her body. She had eczema as a child and currently has seasonal allergies. She is otherwise well and is currently taking no medication. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/11/11/3.htm
11 Nov 2014
MKSAP Quiz: 5-day history of asymptomatic rash
A 68-year-old man is evaluated in the emergency department for a 5-day history of an asymptomatic rash on the upper back and upper arms. The lesions grew suddenly and are neither pruritic nor painful. The patient has had associated fevers. He has a myelodysplastic syndrome and has received intermittent erythrocyte transfusions, and he takes azacitidine. Following a physical exam, lab studies, and a skin biopsy, what is the most likely diagnosis?.
https://immattersacp.org/archives/2014/11/mksap.htm
1 Nov 2014
MKSAP Quiz: 3-month history of intermittent itching
A 59-year-old man is evaluated for a 3-month history of intermittent itching on the forearms. He describes the itch as deep, with a burning or tingling sensation. Scratching helps somewhat, but over-the-counter topical corticosteroids have not helped. Cooling the skin soothes the itch. He did not notice a rash until he started scratching. The itch gets worse after being in the sun, but sun exposure does not cause redness or a rash. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/08/12/3.htm
12 Aug 2014
MKSAP Quiz: Pain on tip of nose and painful periorbital eruption
A 65-year-old woman is evaluated for a prodrome of pain on tip of the nose followed by a painful eruption involving the right periorbital tissue. On physical examination, all vital signs are normal. There are grouped vesicles on an erythematous base on the tip of the nose and about the right eye. What is the most appropriate first step in the management of this patient?
https://immattersacp.org/weekly/archives/2014/07/01/3.htm
1 Jul 2014
MKSAP Quiz: ED evaluation for a painful body rash
A 64-year-old man is evaluated in the ED for a rash that first developed 3 days ago and has rapidly spread to cover most of his body. He has a history of mild psoriasis, well controlled with topical corticosteroids, and asthma. One week ago, he completed a 10-day course of oral corticosteroids for an acute exacerbation of asthma. On physical examination, more than 90% of his body surface area is erythematous. There are widespread coalescing erythematous patches and plaques, many with pinpoint pustules coalescing into lakes of pus. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2014/04/29/3.htm
29 Apr 2014