Search results for "Dermatology"
MKSAP Quiz: Several months of itchy, scaly feet
A 50-year-old man is evaluated for a several-month history of itchy, scaly feet. It has persisted despite the application of a moisturizing lotion. A physical exam reveals erythematous scaly patches on the sides of the feet and maceration between toes. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/07/13/3.htm
13 Jul 2021
MKSAP Quiz: Dark spot on lower lip
A 30-year-old woman is evaluated for a dark spot on the lower lip for several months' duration. Medical history is unremarkable, and she takes no medications. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/30/3.htm
30 Mar 2021
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: 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: 2 weeks of painful lumps on legs
A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where she has lived her whole life. Following a physical exam, negative pregnancy test, and other lab studies, what test should be done next?
https://immattersacp.org/weekly/archives/2019/01/08/3.htm
8 Jan 2019
MKSAP Quiz: Recurrent skin eruption
A 25-year-old man is evaluated for recurrent skin eruption with oval lesions on the chest and upper back, which are occasionally itchy. The lesions began in late spring and worsened over the summer. Following a physical exam, what is the most likely diagnosis?
https://immattersacp.org/archives/2021/07/mksap-quiz-recurrent-skin-eruption.htm
1 Jul 2021
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
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
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
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