DERMATOLOGY

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Dermatologic Approach

Examination

History

Re-examination

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Provisional Diagnosis

Lab. Investigations

Final Diagnosis

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TreatmentEducation/reassurance

General measures

Specific treatmentTopical

Systemic

Specialized

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Presenting Complaint

Morphology

Pattern

Distribution

Duration

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Basic Morphological Terms

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Macule/Patch

Alternation in color

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Papule/Nodule/Plaque

Palpable lesions

< 0.5 cm

0.5-2 cm

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Tumor

Protuberant growth

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Vegetations

Finger like projections

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Vesicle/Bulla

Clear fluid containing lesions

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Pustule/Abscess

Pus containing lesion

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Scale

Exfoliating epidermal cells

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Crust

Dried up exudates &/or blood

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ErosionUlcerExcoriationFissure

Breach in skin

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Lichenification

Thickened skin with

exaggeration markings

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Atrophy/Scarring

Loss of substance/skin marking

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Sclerosis

Hide-bound skin

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Telangiectasia

Visible dilated blood vessels

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Poikiloderma

PigmentationAtrophyTelangiectasia

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Burrow

Small tunnel in skin

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Comedo

Plug of keratin & sebum

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Presenting Complaint

Morphology

Pattern

Distribution

Duration

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Pattern/Arrangement

IsolatedScatteredLinearGrouped

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Segmental

Annular

Polycyclic

Reticular

Geographic

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Presenting Complaint

Morphology

Pattern

Distribution

Duration

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Distribution

Anatomical area affected

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Presenting Complaint

Morphology

Pattern

Distribution

Duration

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Duration of the present lesions

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Prerequisite for Exam.

Light

Exposure

Eyesight

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