A 38-year-old man visits his GP complaining of feeling generally unwell. He reports experiencing daily frontal headaches for the past three months, which have not improved with regular paracetamol. Additionally, he has noticed some unusual symptoms such as his wedding ring no longer fitting, his shoe size apparently increasing, and a small amount of milky discharge from both nipples. During examination, his blood pressure is found to be 168/96 mmHg. What is the probable diagnosis?
A 45-year-old woman has been diagnosed with Addison’s disease. What medications are typically prescribed in combination for this condition?
A 28-year-old patient presents to you with an itchy rash on both elbows that has been getting worse over the past week. Upon examination, you observe multiple flat-topped papular lesions that are polygonal and measure 5mm in diameter on the flexural surface of her elbows bilaterally. There are no other rashes on the rest of her body. What is the most probable diagnosis?
A 55-year-old man complains of persistent itching caused by shiny, flat-topped papules on the palmar aspect of his wrists. Lichen planus is suspected. What is the best course of treatment?
During your assessment of a 55-year-old patient admitted to the medical ward, you observe a rash on her legs. The rash has a lace-like pattern in a purple color and does not disappear when touched. It is located on the lower legs. The patient has a medical history of systemic lupus erythematosus and reports experiencing this rash on and off in the past, often triggered by cold weather. What is the most probable diagnosis for this rash?
A 4-year-old boy is brought to the doctor’s office because of a rash on his upper arm. During the examination, the doctor observes several raised lesions that are approximately 2 mm in diameter. Upon closer inspection, a central dimple is visible in most of the lesions. What is the probable diagnosis?
A 6-year-old boy is presented for surgery after the appearance of multiple small, umbilicated lesions on his right leg. He has no prior history of such lesions and is generally healthy, except for a history of allergies. What is the best course of action for management?
A 28-year-old female comes to the clinic with a skin rash under her new bracelet. The possibility of a nickel allergy is being considered. What is the most appropriate test to confirm the diagnosis?
A 25-year-old woman presents to her General Practitioner concerned about a red, itchy rash that developed while she was on holiday in Spain. On examination, she has an inflamed eczematous rash on her face, neck, arms and legs, with a few blisters. She has sparing of skin in areas that have been covered by her swimwear. She is currently being treated for acne and takes no other regular medications. She has no other known medical conditions.
Which of the following medications is most likely to have caused this patient’s rash?
A 25-year-old female patient complains of hypopigmented skin lesions on her chest and back. She has just come back from a trip to Spain and has a tanned complexion. During examination, the lesions appear to be slightly scaly. What is the probable diagnosis?