A 25-year-old soldier who returned from a tour of Iraq 3 months ago comes to the clinic with a painless ulcer on his forearm. He explains that it began as a small bump and has been growing in size. Upon examination, there is a 4 cm ulcer with a sunken center and a raised firm border. The patient is healthy otherwise and has no other medical issues.
What is the probable diagnosis?
Which of the following side effects is most commonly observed in individuals who are prescribed ciclosporin?
A 50-year-old woman comes to you with a lesion on her left cheek that has been present for 3 days. The area is red, warm, slightly tender, and measures 2 cm in diameter. She has no significant medical history except for a penicillin allergy. She is not experiencing fever and the rash appears to be a mild facial cellulitis without any involvement of the periorbital or orbital regions. What course of treatment do you recommend?
A 30-year-old man comes to the clinic with a red rash on his face. He sustained a cut on his forehead while playing basketball. During the examination, it is observed that the redness is spreading towards his eye, and he has a temperature of 37.9ºC. The patient has no known allergies to any medication.
What would be the most suitable medication to prescribe in this scenario?
A 16-year-old male visits the nearby sexual health clinic with a concern. He has a sizable, keratinised genital wart on the shaft of his penis that has been there for approximately three months. Due to embarrassment, he has delayed seeking medical attention. What is the best initial course of action?
A 21-year-old female has just come back from a year overseas. She volunteered in a school in South America for 4 months and then went on a backpacking trip. She has recently noticed numerous itchy bumps all over her body, including her arms, legs, and torso. Despite the itchiness, she is in good health.
What is the probable diagnosis?
A 28-year-old British man with a history of asthma comes to the clinic with a painless lymph node in his groin that has been enlarged for the past three months. He denies any other symptoms except for a generalised itch which he attributes to a recent change in laundry detergent. He has not observed any rash.
What is the probable diagnosis?
A 27-year-old man comes back from a year-long trip to Central and South America. He complains of a lesion on his lower lip that has been ulcerating for the past 2 months. Upon examination, it is found that his nasal and oral mucosae are also affected. What is the probable diagnosis?
A 45-year-old woman presents to your clinic with a history of breast cancer and a right-sided mastectomy with subsequent lymphoedema of the right arm. She reports the development of a new painful rash on her right arm over the past 24 hours. On examination, there is mild chronic lymphoedema to the arm with an area of mild erythema and warmth measuring approximately 3x3cm that is tender to the touch. You suspect erysipelas. What is the most suitable antibiotic to prescribe?
A 25-year-old woman presents for follow-up. She has been experiencing recurrent genital warts for the last 3 years and has not seen improvement with topical podophyllum. She previously underwent cryotherapy but is hesitant to do it again due to discomfort. During the exam, numerous fleshy genital warts are observed around her introitus. What is the best course of action for treatment?