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 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 32-year-old male presents to his GP with a complaint of rectal bleeding and black stool. He reports experiencing this issue more than six times in the past four months. The patient denies any other symptoms such as weight loss, abdominal pain, or changes in bowel habits. During the examination, no masses or apparent causes of bleeding are found in his abdomen or rectum. However, the GP notices some red spots on the patient’s lips and tongue. When questioned about them, the patient dismisses them as insignificant and claims that everyone in his family has them. What is the most probable reason for the bleeding?
A 16-year-old male presents to the dermatology clinic for follow-up. He has a previous medical history of acne and is currently taking oral lymecycline. Despite treatment, there has been no improvement and upon examination, scarring is evident on his face. What is the most appropriate course of treatment?
A 42-year-old female patient visits the GP clinic with two circular patches on her scalp that have resulted in hair loss and scarring. She reports that she first noticed these patches 4 weeks after returning from a trip to Italy. Upon further inquiry, she also acknowledges experiencing persistent joint pain and stiffness. Could scarring alopecia be caused by any of the following?
A 28-year-old law student visits his primary care physician complaining of ear pain. He suspects that this is related to the same issue causing dryness in his scalp and beard, as well as eczema-like patches in his nasolabial folds. He has been using non-prescription topical treatments to manage these symptoms but seeks guidance for his earache. What is the probable diagnosis that connects all of this patient’s symptoms?
A 65-year-old man visits his primary care physician complaining of an itchy rash on his face and upper chest that has been bothering him for three weeks. He has a history of HIV but has not been taking his antiretroviral medications as prescribed. During the examination, the doctor observes redness on the eyebrows, nasolabial folds, and upper chest, as well as excoriations around the rash. What is the best initial treatment for this patient?
A 42-year-old man comes in with an ongoing itchy rash that has been present for a few weeks. During examination, he displays erythematous, scaly lesions beneath his eyebrows, around his nose, and at the top of his chest. He also has a history of dandruff that he manages well with over-the-counter shampoos. What is the best course of treatment for the lesions on his face and trunk?
A 28-year-old man who is HIV positive has been diagnosed with seborrhoeic dermatitis. What are the two most commonly associated complications with this condition?