A 30-year-old male patient comes to you with a rash that has spread all over his body. He has multiple erythematous lesions less than 1 cm in diameter on his torso and limbs, some of which are covered by a fine scale. Two weeks ago, he had exudative tonsillitis when he was seen with a sore throat. Apart from asthma, he has no other medical history. What is the probable diagnosis?
A 29-year-old woman presents to her GP with complaints of hair loss. She reports noticing that her hair has become significantly thinner and that she is shedding more hair than usual, both on her pillow and in the shower drain. She denies any other symptoms and has no significant medical history except for giving birth to her first child 6 months ago. She is not taking any medications regularly and there is no family history of hair loss. On examination, her scalp hair is uniformly thin, but there are no areas of complete hair loss. Her systemic examination is unremarkable and her vital signs are within normal limits. Blood tests, including iron studies and thyroid function, are all normal. What is the most likely diagnosis?
A 56-year-old Caucasian man presents with a rash on the face. He first noticed this six months ago when he experienced episodes of flushing on the face. This has often occurred after he had alcohol or in situations where he felt stressful. A month ago, he started noticing a rash on his cheeks which came on intermittently until three weeks ago when the rash has become permanent. There has been no pain or itch associated with the rash. He is otherwise fit and well. He does not smoke.
On examination of the face, there is marked erythema with papules, pustules and telangiectasia. There are no comedones seen. The rash is distributed across the cheeks and nose. There is no per-oral or peri-orbital involvement.
What is the most likely diagnosis?
A 17-year-old female patient presents with concerns about her acne and its impact on her self-esteem. She has been experiencing acne for a few years and is currently taking the combined oral contraceptive pill, which has provided some relief. After a thorough discussion, you decide to initiate treatment with topical isotretinoin. What other side effect, in addition to its teratogenic effects, should you inform her about?
A 60-year-old man comes to the clinic complaining of worsening psoriasis. He reports feeling more stressed lately and suspects it may be contributing to his flare-up. Additionally, he has recently started taking a new medication. During the physical examination, scaly plaques on the extensor surfaces and trunk that are erythematous are observed. Which of the following medications could potentially trigger exacerbations in his condition?
A 75 year-old woman comes to the clinic with a non-healing skin area on her ankle. She had a deep vein thrombosis 15 years ago after a hip replacement surgery. She is currently taking Adcal D3 and no other medications. During the examination, a superficial ulcer is observed in front of the medial malleolus. Apart from this, she is in good health. What test would be the most beneficial in deciding the next course of action?
A 55-year-old woman comes to see her general practitioner complaining of a progressively worsening erythematous rash on her nose, forehead, and cheeks accompanied by telangiectasia and papules for the past year. The rash is exacerbated by exposure to sunlight and consumption of hot and spicy foods. She has previously sought medical attention for this condition and has been treated with topical metronidazole, but her symptoms persist. She has no allergies and is otherwise healthy.
What is the most suitable course of action for managing this patient’s condition?
A 70-year-old man is seen on a home visit by his General Practitioner as his wife is concerned about an ulcer on his lower leg, which has been present for a couple of weeks. It is starting to leak clear fluid. He has a history of chronic congestive cardiac failure and chronic obstructive pulmonary disease. A diagnosis of a venous ulcer is suspected.
Which of the following examination findings would best support this diagnosis?
A 25-year-old man comes to his General Practitioner complaining of an itchy rash on both his wrists that has been present for 1 week. Upon examination, the doctor notes small purplish papules on the flexural aspect of both wrists with a flat top and small white lines on the surface. The patient also has areas of hyperpigmentation on the inner aspect of his elbows. What is the most probable diagnosis?
A 63-year-old woman presents to her General Practitioner concerned about a lesion to her right temple. It has been there for several months. Examination reveals a round lesion, 1 cm in diameter, with rolled edges and a pearly appearance.
Which of the following, from the history, is the most likely diagnosis?
Select the SINGLE most likely diagnosis from the list below. Select ONE option only.