A 21-year-old man presents with the rapid development of large oval macules on his trunk. Some of the macules have a little scale on them. He had noticed a single larger lesion that appeared a few days earlier but thought little of it. He is otherwise well.
What is the most likely diagnosis?
A 27-year-old woman schedules a routine visit with you. She is currently 18 weeks pregnant and has a lengthy history of acne vulgaris. Before her pregnancy, she effectively managed her acne with a topical retinoid and the combined oral contraceptive. However, she discontinued both treatments prior to becoming pregnant and has noticed a resurgence of her acne. Despite trying over-the-counter benzoyl peroxide, she has not seen any improvement.
What would be the best course of action for managing her acne during pregnancy?
The community midwife has approached you regarding a patient she saw for her booking appointment that morning. The patient is a 22-year-old student who did not plan on becoming pregnant and is currently taking multiple prescribed medications. The midwife has requested that you review the medication list to determine if any of them need to be discontinued. The patient is taking levothyroxine for hypothyroidism, beclomethasone and salbutamol inhalers for asthma, adapalene gel for acne, and occasionally uses metoclopramide for migraines. She also purchases paracetamol over the counter for her migraines. She is believed to be approximately 8 weeks pregnant but is waiting for her dating scan.
Which of her medications, if any, should be stopped?
A 40-year-old woman presents with some yellowish-brown tender oval patches that have developed slowly on her shins over the past few months. The patches are shiny, pale and atrophic with telangiectasia.
What is the single most likely diagnosis?
A 25-year-old woman in the third trimester of her first pregnancy presents with pruritus and a few blisters on her abdomen, including around her umbilicus and upper thighs. What is the most probable diagnosis?
A 35-year-old man comes to you with a painful verrucous lesion on his right heel. Upon removing the hard skin over the lesion with a scalpel, you notice some black pinpoint marks. What is the most probable diagnosis?
A 32-year-old woman is pregnant for the first time. She presents with a diffuse dark pigmentation over both cheeks.
What is the most probable diagnosis?
What condition is characterized by a rash that causes itching?
A 52-year-old man has round erythematous scaly plaques on his limbs. Select from the list the single feature that would suggest a diagnosis of discoid eczema rather than psoriasis.
A 65-year-old female has been referred for management of a chronic ulcer above the left medial malleolus. The ankle-brachial pressure index readings are as follows:
Right 0.98
Left 0.98
The ulcer has been treated with standard dressings by the District Nurse. What is the most suitable approach to increase the chances of healing the ulcer?