A 17-year-old boy presents with a purpuric rash on his legs and buttocks, and coffee ground emesis. The joints of his body are also painful. Blood testing reveals mild eosinophilia and a small rise in IgA levels. Urine testing reveals microscopic haematuria. Which of the following fits best with this clinical scenario?
A 5 month old boy presents with unilateral jerking of the arm, followed by generalised shaking. Doctors suspect he might have experienced a fit. History taking and clinical examination shows he has a macular erythematous lesion under the right lower eyelid which has been present since birth. The lesion has not changed in size and aspect. Which of the following is the most probable diagnosis?
A 5 week old boy presents for developmental assessment. Clinical examination reveals a bluish, well-circumscribed lesion located on the bridge of the nose. It measures 5 mm in diameter and feels firm to the touch. Parents admit that the mass was not present at birth. They have noticed that the lesion gets bigger when the baby cries and then it gets back to its initial size. Doctors suspect a capillary haemangioma. What would you advise the parents?
A 5 year old girl presents with widespread, itchy, excoriated papules that appeared three months ago. They are symmetrically distributed and more profound on the extensor surfaces of the elbows and knees. The papules are present on the trunk as well but are less remarkable. She doesn’t have it anywhere else on her body and seems to be in a good health. The itchiness results in the girl to often scratching and popping the fluid-filled blisters that are present. There is no family history of atopy or other skin conditions. Which of the following is accurate?
A 5 year old girl presents with a wart-like lesion on her thigh and a hyperpigmented, rhabdoid whorl rash. She has a history of seizures since she was three years old and warts similar to the one she has now. Family history reveals the mother had two in utero stillbirths. The doctor observes small vesicles on the anterior surface of her left wrist. Other findings include mild scoliosis, thin wiry hair, and peg-shaped teeth. Her gait is normal and she is otherwise healthy. Ruth Griffiths score reveals a reduced sub quotient in terms of social skills, performance, and language and hearing skills. The doctor takes a biopsy sample which shows many intradermal eosinophils in the absence of inflammatory cells. What is the most probable diagnosis?
A 16-year-old schoolboy presents for a regular medical check-up. He complains of a red patch of skin on his chest, that is surrounded by an area of skin scaling. This was followed by the development of oval macules over the rest of his trunk, arms and thighs three days later. he has just returned to school for the start of Spring term. What is the most likely diagnosis?
Which of the following pathological criteria carries the greatest prognostic weight for malignant melanoma?
An 18-year-old female presents to the dermatologist with a pigmented lesion on her back. A melanoma is suspected. What would be the most appropriate initial course of action?
An 18-year-old female suffering from acne vulgaris has been started on isotretinoin. Regarding this treatment, which of the following statements is the most applicable?
A 16-year-old boy is scheduled for a repair of an inguinal hernia. Which of the following structures must be divided to gain access to the inguinal canal?