A 16-year-old boy presents to you with complaints of excessive sweating in his hands. He reports feeling embarrassed in social situations, particularly when he has to shake hands with someone. He is also concerned about how this may impact his upcoming A-level exams.
Which of the following is the most appropriate initial management approach for this condition?
Which of the following is not typically associated with hirsutism in individuals?
A 25-year-old man presents to his General Practitioner with a 1-week history of an itchy rash on the inner aspect of his elbows on either side. He states that this came on suddenly and that he has had similar episodes in the past, the first of which occurred when he was around seven years old. He claims to only suffer from generally dry skin and asthma, which he controls with emollient creams and inhalers, respectively.
Given the likely diagnosis, which of the following is the best next step?
A 35-year-old man comes to his General Practitioner complaining of an itchy rash on the flexural surface of both his arms that has been present for 1 week. On examination, the rash appears polygonal and shiny with a white lines pattern on the surface. What is the most appropriate next step?
A 67-year-old woman presents to General Practitioner with a 2-day history of fever and pain in her right shin.
On examination, she was found to have a tender erythematous skin swelling in the anterior aspect of her right shin. This measured around 10 cm × 4 cm. Her temperature was 38.2°C and the rest of her parameters included a heart rate of 120 bpm, respiratory rate of 21 bpm and oxygen saturation of 99%.
What is the most appropriate next investigation?
Select the SINGLE best option from the list below.
Select ONE option only.
A 45-year-old woman presents to her General Practitioner with right lower-limb pain. This is mainly localised over a red patch that has recently developed on the inner part of her thigh.
On examination, there is a well-demarcated area of erythematous skin on the patient’s thigh, which is warm and tender to touch. There are no other rashes or skin changes present in the rest of her body. Her temperature is 37.5°C and the rest of her parameters are within normal limits.
Which of the following is the most likely diagnosis?
A 25-year-old woman presents complaining of severe itching, which is mainly affecting her groin. The problem has been worsening over the past two to three weeks and is now unbearable. She mentions having slept with a new partner a few weeks before she noticed the problem.
You notice an erythematous, papular rash affecting the web spaces on the hands. She also has erythematous papules and scratch marks around the groin in particular.
Investigations reveal the following:
Investigation Result Normal value
Haemoglobin (Hb) 131 g/l 115–155 g/l
White cell count (WCC) 4.1 × 109/l 4.0–11.0 × 109/l
Platelets (PLT) 320 × 109/l 150–400 × 109/l
Sodium (Na+) 141 mmol/l 135–145 mmol/l
Potassium (K+) 4.1 mmol/l 3.5–5.0 mmol/l
Creatinine (Cr) 80 μmol/l 50–120 μmol/l
You draw on the web spaces between her fingers with a felt-tip. Rubbing off the excess reveals several burrows.
What is the most likely diagnosis?
A 24-year-old pregnant woman visits her General Practitioner with a rapidly growing lesion on the tip of her index finger. It began as a small spot but has rapidly increased in size over the past five days. It is dark red in colour and causes discomfort and easy bleeding when working in her café.
What is the most probable diagnosis?
Choose the ONE most likely diagnosis from the options below.
A 5-year-old girl is brought to the pediatrician’s office by her father, who is concerned about a red rash on her arms and chest. She has been feeling sick, with cold-like symptoms preceding the rash. The rash is erythematous, macular and symmetrical to both arms and chest and is non-blanching. She is currently without fever and appears to be in good health.
What is the most probable cause?
A 50-year-old man is brought to the Emergency Department by his wife after developing a severe cutaneous hypersensitivity reaction. He has a history of rheumatoid arthritis for which he was taking non-steroidal anti-inflammatory drugs (NSAIDs). Still, his symptoms did not improve, and his rheumatologist prescribed him methotrexate a few days ago.
On examination, Nikolsky’s sign is present and affects 45% of his body’s surface area.
What is the underlying condition?