Search results for "Dermatology"
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 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: 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: 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
Internists play primary role in detecting skin cancer
While it isn't recommended that primary care physicians perform whole-body skin exams for skin cancer, they can and should be alert for skin lesions with malignant features. An easy acronym and other tips and tricks can make the difference.
https://immattersacp.org/archives/2013/02/ABCDE.htm
1 Feb 2013
More options available for psoriatic arthritis
Internists are the first doctors patients see for joint pain, which means they can make a big difference in preventing the progression of joint diseases such as psoriatic arthritis.
https://immattersacp.org/archives/2019/04/more-options-available-for-psoriatic-arthritis.htm
1 Apr 2019
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
Teledermatology consults could change diagnosis, management
Consultations with a specialist via teledermatology changed diagnosis and management and could improve clinical outcomes for skin conditions, according to a new study.
https://immattersacp.org/weekly/archives/2012/01/24/6.htm
24 Jan 2012
MKSAP Quiz: 4-week history of wheals and burning sensation without pruritus
A 27-year-old woman is evaluated for a 4-week history of wheals, characterized by a burning sensation without pruritus. Each individual lesion persists for 48 hours and slowly resolves, leaving a bruise. Current medications are diphenhydramine, hydroxyzine, cetirizine and oral contraceptives. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2013/07/16/3.htm
16 Jul 2013
Psoriasis symptoms can be tough to address
A recent survey showed that many psoriasis patients are not satisfied with their care, reporting inadequate relief from such symptoms as itching and scaling. Learn more about clues to diagnosis and suggestions on treating and managing symptoms of both mild and more severe disease.
https://immattersacp.org/archives/2014/02/psoriasis.htm
1 Feb 2014