A 32-year-old male patient complains of an itchy rash on his palms and genitals. He has observed the same rash around a recent scar on his forearm. During examination, the doctor notices papules with a white-lace pattern on the surface. What is the diagnosis?
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 16-year-old female comes to the clinic complaining of a painful and itchy rash that has rapidly worsened in the last 12 hours. She has a history of atopic dermatitis and hayfever, which have been treated with emollients. Upon examination, she has a monomorphic rash with punched out erosions on her cheeks and bilateral dorsal wrists. The doctors admit her for observation and IV antivirals. What is the most likely pathogen responsible for her condition?
You are setting up a leg ulcer clinic to be run by your practice nurse.
Which of the following is the best treatment for venous leg ulcers?
A 47-year-old woman was prescribed carbamazepine for trigeminal neuralgia. After a few days, she experiences a prodromal illness with symptoms of sore throat, malaise, and conjunctivitis. She then develops a rash that initially presents as erythematous macules on her torso and progresses to blisters, covering less than 10% of her body surface area. Additionally, she has painful ulcers in her mouth, stomatitis, and worsening conjunctivitis. What is the probable diagnosis?
A 45-year-old female patient complains of painful erythematous lesions on her shins. Which of the following is not commonly associated with this presentation?