Group 1 Spotting

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GROUP 1 SPOTTING

• Identify the disease


• Investigation
• treatment
• CHANCRE
FIXED DRUG ERUPTION
ATOPIC DERMATITIS BABIES
• Chancre
• Investigations: DG microscopy, immunofluorescence, non
treponemal and treponemal test
• T/t : benzathine penicillin 2.4 M IU IM (equal divided half
dose in both buttocks)
• Erythromycin 500mg qid for 14 days
• Doxycycline 100 mg BD for 14 days
• 1 1.Describe thelesion
• 2.Diagnosis
• 3.Treatment
• TINEA MANUUM
• Diagnosis T manuum: • Topical: Miconazole 2%,
• Woods light clotrimazole 1%
• KOH mount • SYSTEMIC:
• SDA Culture Terbinamine: 250 mg
OD for 2-6 weeks
• Itraconazole: 100 mg
for 4 weeks
• A 2 years old child
presented with these
crusted lesions.
• What is your
Diagnosis
• What investigation u
will do ?
• Treatment
• IMPETIGO
CONTAGIOSA
• INVESTIGATION: • General hand hygiene,
• Gram stain and culture facial hygiene
• Topical: mupirocin 2%
• Systemic: (in case of
lymphadenopathy)
a. Azithromycin
b. amoxiclav
• Patient gave a history of
intake of anti-
convulsant drug 10 days
back.
• What is your Diagnosis
• What sign will you
elicit?
• How will you confirm
your diagnosis ?
• TOXIC EPIDERMAL
NECROLYISIS
• Nikolsky sign (actually • Confirmatory:
its pseudonikolsky in • Biopsy shows
TEN, SJS, BURNS) subepidermal split with
• Asboe- Hansen sign apoptotic keratinocyte
(bullae spread sign) necrosis
• A 60 years old male
presented to opd with
these tense bulla
• What is diagnosis?
• How will you confirm
it ?
• How will you manage ?
• PEMPHIGOID
• Confirmatory: • Management:
• Biopsy • Topical steroids
• DIF • Dapsone 100mg dailty
Indirect • Tetracycline or
Immunofluorescence doxycycline

• Generalized disease:
• Systemic steroids
• immunosuppresants
• A school-going child
came with this swelling
and alopecia
• Diagnosis
• Investigation
• Treatment
• KERION (TINEA
CAPITIS)
• T/t:
• Topical: cream
• Systemic: DOC
griseofulvin 10 mg/kg
• Diagnosis
• Management
• (STAGE 4 ACNE)
• Management:
• Systemic isotretinoin 0.5-1
mg/kg OD for 12-16 weeks
• Systemic antibiotics:
doxycycline, azithromycin,
erythromycin
• Hormones: OCPs
• Physical measures:
Cryotherapy, CO2 laser
therapy, intralesional injection
of triamcinolone
• Diagnosis
• Management
• WASHERWOMAN
HAND (IRRITANT
ECZEMA)
• Washerwomans • General: avoidance of
dermatitis allergens
• Topical emollients
• Topical steroids
• Extensive lesion: oral
steroid +
immunosuppresant
• Describe

• Diagnosis

• Treatment
• (VITILIGO)
• Photoprotection
• Medical treatment
• Azelaic acid
• Glycolic acid
• Kojic acid
• Hydroquinone
• Chemical peeling
• Give any two
differential diagnosis (
BT, ?)
• What tests you would
like to do
• Treatment
• (TYPE 1 LEPRA
REACTION)
• BIOPSY: Granuloma, • T/t:
multinucleated giant • Steroid 0.5-1 mg/kg/
cells and edema day, taper until
inflammation has
reduced (12 weeks for
PB, 20 weeks for MB)
• Ciclosporine
• Nsaids
• Rest and splint
• Identify the disease
• How will you confirm
your diagnosis
• Topical treatment
option
• Chronic plaque
psoriasis
• Biopsy • Topical: core and
supportive
• This patient gave the
history of
unprotected sex 3
weeks back.
• what is your
Diagnosis?
• Treatment
• Lymphogranuloma
venerum
• T/t:
• Azithromycin
• Doxycycline 21 days
• Erythromycin 21 days
• 1.Describe thelesion
• 2.Diagnosis
• 3.Treatment

• ALLERGIC DERMATITIS
• Diagnosis: patch test
• Describe the facial
findings
• Diagnosis
• Treatment
LEONINE FACIES
(prominent
convexities,
deepening of furrows,
madarosis, nose
deformity, diffuse
infiltration of face)
• Diagnosis of LL • T/t of LL
• 1.Describe thelesion
2.Diagnosis
3.Treatment
• SCABIES BURROW
• Clinical features
• Cause
• Diagnosis
• Treatment
• SEBORRHEIC
DERM.
• Cause of seborrheic
dermatitis:
• Malassezia furfur
• Genetic predisposition
• immunosuppression
• Identify the disease
• Cause
• Treatment
• HSV
• Sexual contact • Primary:
• Acyclovir: 400mg tds for
7-10 days
• Valcyclovir: 1 g bd for 7-
10 days
• Rexcuurent:
• Acyclovir 400mg bd for
6-12 months
Diagnosis
Treatment
Steven juohnson
• Diagnosis: BIOPSY
• Full thickness epidermal
necrosis in the absence
of immunoglobulin
deposition
• A man presented with
these bulla, erosions
and crusted lesion
• What is your diagnosis
• How will you confirm
your diagnosis
• PEMPHIGUS
• Diagnosis
• Treatment
• ANGIOEDEMA
• Management:
• Manage airway
• FFP
• C1-INH
• Bradykinin receptor inhibitor:
icatibant
• Kallikrein inhibitor: ecallantide

• Antihistaminics 10-20 mg
chlorpheniramine, cetrizine
• Corticosteroids prednisolone 50-
100mg
• Adrenaline 1:1000
• Identify the disease
• Management
• STASIS dermatitis
GENERAL MEASURES:
• Elevate limb
• Stocking compression
• Exercise
LOCAL:
• Mild to mid potency steroids
• Uninfected ulcer: gently clean with saline, remove crusts by
immersing in warm saline, dress the ulcer
• Infected ulcer: clean with hydrogen peroxide, dress the ulcer
SYSTEMIC: analgesics, antibiotics
Surgery: ulcer surgery
Group 7
• Describe the clinical
features
• Diagnosis
• What are the bedside
tests
• Psoriasis
• Diagnosis
• What advices will you
give to the patient
• Treatment
• Tinea pedis
• Advice:
• Keep the feet clean and dry
• Avoid swimming pool, foot
bath
• Wear sandals when
possible or air shoes out by
alternating them every 2-3
days
• Avoid closed shoes and
wearing shocks that doesn’t
dry easily
• What is your diagnosis
• Treatment
• Complications
• Herpes zoster
ophtalmicus
• Analgesic
• Broad spectrum
antibiotics
• Treatment:
• Acyclovir: 800mg 5
times a day for 7 days
• Famcyclovir: 500mg tds
for 7 days
• A lady came to opd with
itching and swelling over
scalp and face following
hair dye application
• Diagnosis
• Management
• Allergic dermatitis
• Give any two
differential diagnosis
• What tests you would
like to do
• Treatment
• BT
Group 8
• Identify the disease
• aetiology
• Treatment
• Herpes labialis
• The patient gave H/O
unprotected sexual
contact 5 days back
• What is the diagnosis
• Investigation you will do
• Treatment
• gonorrhea
• Describe the clinical
features
• Diagnosis
• LICHEN PLANUS
• A 42 years old male
presented with scaly
plaque over groin
• What is your diagnosis?
• What is your treatment.
• TINEA CRURIS
• What is your diagnosis
• Advices you will give
• treatment
• Identify the disease
• What tests you will do
• Management
• IMPETIGO
CONTAGIOSA
• Diagnosis
• Cause
• Treatment
• aLOPECIA
Group 1
• The patient gave H/O
unprotected sexual
contact 5 days back
• What is the diagnosis
• Investigation you will do
• treatment
• Patient gave a history of
intake of anti-
convulsant drug 10 days
back.
• What is your Diagnosis
• What sign will you
elicit?
• How will you confirm
your diagnosis ?
TEN
• Give any two
differential diagnosis
• What tests you would
like to do
• Treatment
• 1.Describe thelesion
• 2.Diagnosis
• 3.Treatment
• Molluscum
contagiosum
• T/t wart paint, cautery
and cryotherapy
• Describe the clinical
features
• Diagnosis
• What are the bedside
tests
Group 2
• 1.Describe thelesion
• 2.Diagnosis
• 3.Treatment

• VITILIGO
• Localized: topical
steroids, topical PUVA
• Extensive: oral
steroids+puva+UVB
• A 42 years old male
presented with scaly
plaque over groin
• What is your diagnosis?
• What is your treatment.
• TINEA CRURIS
1.Describe thelesion
2.Diagnosis
3.Treatment
• Describe the findings
• What is the diagnosis
• How will you treat
• 1.Describe the
lesion
• 2.Diagnosis
• 3.Treatment
• CHANCROID
• Diagnosis
• Cause
• Treatment
1.Describe the lesion
2.Diagnosis
3.Treatment

HPV WART
• What is your diagnosis
• Treatment
• Complications

• HERpes zoster
• Identify the disease
• management
group3
• Identify the disease
• Cause
• treatment
• A school-going child
came with this swelling
and alopecia
• Diagnosis
• Investigation
• treatment
• Describe the facial
findings
• Diagnosis
• Treatment
• Diagnosis
• What advices will you
give to the patient
• treatment
• What is your diagnosis
• Treatment
• complications
• Diagnosis
• Treatment
• Identify the disease
• What tests will you do
• Treatment

• PYTIRIASIS
VERSICOLOR
• Clinical features
• Diagnosis
• Investigation you would
like to do
• Treatment
• HPV WART
• Describe the nail
changes
• Name any two diseases
with these changes

• Onychomycosis
• A man presented with
these bulla, erosions
and crusted lesion
• What is your diagnosis
• How will you confirm
your diagnosis
• Which sign is being
demonstrated
• Diagnosis
• Treatment
• Dermatographic
dermatitis
• T/t: general measures
like loose fitting clothes,
avoid triggers like hot
water
• Specific:
• Antihistaminics
• omalizumab
• Clinical features
• Cause
• Diagnosis
• Treatment

• Seborrheic
dermatitis
• This patient gave
the history of
unprotected sex 3
weeks back.
• what is your
Diagnosis?
• Treatment

• LGV
• Identify the disease
• management
Spotting group 1
• Diagnosis

• Treatment
• Describe the clinical
features
• Diagnosis
• Treatment

• Periungual wart
• A 42 years old male
presented with scaly
plaque over groin
• What is your diagnosis?
• What is your treatment.
• Patient gave a history of
intake of anti-
convulsant drug 10 days
back.
• What is your Diagnosis
• What sign will you
elicit?
• How will you confirm
your diagnosis ?
• Diagnosis
• Cause
• Complications in male
and female

• Condyloma acuminata
• Complications:
• Invasive carcinoma
• Obstructed labor by
large vulvar warts
• What is this
phenomenon called
• Name few disease with
this phenomenon.

• Koebner phenomenon
• Describe the findings
• What is the diagnosis
• How will you treat
• This patient gave
the history of
unprotected sex 3
weeks back.
• what is your
Diagnosis?
• Treatment
NOT SURE
• Give any two diagnosis
• How will you confirm
your diagnosis.
• Describe the clinical
features
• Diagnosis
• How will you confirm it?

• PSORIASIS
• A 2 years old child
presented with these
crusted lesions.
• What is your Diagnosis
• What investigation u
will do ?
• Treatment

• IMPETIGO
CONTAGIOSA
• A 60 years old male
presented to opd with
these tense bulla
• What is ur diagnosis
• How will u confirm it
• How will u manage

• PEMPHIGOID
• A child presented
with these itchy
white papules
• What is your
diagnosis
• How will you treat ?

• Molluscum
contagiosunm
• Hypopigmented
asymptomatic macules
and patches on trunk
• Diagnosis
• What investigation will
you do?
• What is the treatment.
• Diagnosis from the nail
changes?
• Investigation to confirm
your diagnosis
• What Advice you would
give to the patient?

• TINEA PEDIS
• Diagnosis

• Management

• ACNE
Spotting group 1
• A 42 years old male
presented with scaly
plaque over groin
• What is your diagnosis?
• What is your treatment.
• A 60 years old male
presented to opd with
these tense bulla
• What is your diagnosis
• How will you confirm it
• Write down the
management
• A 2 years old child
presented with these
crusted lesions.
• What is your
Diagnosis
• What investigation
will you do ?
• Treatment
• This patient gave
the history of
unprotected sex 3
weeks back.
• what is your
Diagnosis?
• Treatment
• Patient gave a history of
intake of anticonvulsant
drug 10 days back.
• What is your Diagnosis
• What sign will you
elicit?
• How will you confirm
your diagnosis ?
• Give any two
differential diagnosis
• How will you proceed to
your diagnosis.
Spotting group 2
• What is the Diagnosis
• What Preventive
measures would you
advice.
• management
• A school going child
came with scaly patch
on scalp and alopecia
• What is your diagnosis
• Investigation you would
like to do
• Treatment

• TINEA CAPITIS
• Describe the clinical
features
• Diagnosis
• Treatment
• What are the facial
findings?
• Diagnosis
• Investigation you would
like to do
• Diagnosis
• Cause
• What advice you will
give to such patient

• MELASMA
• Diagnosis
• Treatment

• KELOID
Spotting group 3
• Clinical features
• Diagnosis
• Treatment
• Diagnosis
• Cause
• Treatment
• Which sign is being
demonstrated
• Diagnosis
• treatment
• What is your diagnosis
• What are the bedside
tests you will perform
• Diagnosis

• Causative agent

• Treatment
• PEDICULOSIS
• Describe the changes in
the nails
• What is your diagnosis
• Treatment

• ONYCHOMYCOSIS
Group 4
• A child came to opd
with hypopigmented
patches on face
• Diagnosis
• Treatment

• PYTIRIASIS ALBA
• Diagnosis
• What examination
would you like to do?
• Treatment

• LEPRA REACTION
• Diagnosis
• Precautions and advices
• Treatment

• ACNE VULGARIS
• What sign is being
elicited ?
• In which disease this
sign is positive

• NIKOLSKY sign
• Diagnosis
• Aetiology

• Target lesion (erythema


multiformae)
• Clinical features
• Diagnosis
• Treatment

• HPV wart
GROUP A 1
• A child came to opd
with hypopigmented
patches on face
• Diagnosis
• Treatment
• Diagnosis
• What examination
would you like to do?
• treatment
• Diagnosis
• Precautions and advices
• Treatment
• What sign is being
elicited ?
• In which disease this
sign is positive
• Diagnosis
• Aetiology
• Clinical features
• Diagnosis
• Treatment
• A 2 years old child
presented with these
crusted lesions.
• What is your
Diagnosis
• What investigation
will you do ?
• Treatment
• Identify the disease
• management
• Clinical features
• Cause
• Diagnosis
• treatment
• Which sign is being
demonstrated
• Diagnosis
• treatment
• Describe the clinical
features
• Diagnosis
• What are the bedside
tests
• Diagnosis

• Causative agent

• Treatment
• What is your diagnosis
• Advices you will give
• treatment
• Identify the disease
• aetiology
• treatment
• What are the facial
findings?
• Diagnosis
• Investigation you would
like to do
• Diagnosis
• Cause
• What advice you will
give to such patient
Group 5
• A 60 years old male
presented to opd with
these tense bulla
• What is your diagnosis
• How will you confirm it
• Write down the
management
• Diagnosis

• Treatment
• Diagnosis
• Cause
• Complications in male
and female
• Identify the disease.
• What treatment you will
give
• What is this
phenomenon called ?
• In which diseases will
you see this pattern

• KOEBNER
PHENOMENON
• Identify the disease
• What tests will you do
• Treatment

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