A 65-year-old female is referred for management of a chronic ulcer above the left medial malleolus. The ankle-brachial pressure index readings are as follows:
Right 0.95
Left 0.95
The ulcer has been treated with standard dressings by the District Nurse. What is the best course of action to increase the chances of healing the ulcer?
A 33-year-old man is brought to the regional burns unit with mixed thickness burns affecting 45% of his body surface area. On the fourth day of his admission, he experiences severe epigastric pain accompanied by haematemesis, melaena, and haemodynamic instability. What is the probable cause of these new symptoms?
An itchy rash over the extensor surfaces in a patient with gluten intolerance:
A 35-year-old woman with a history of eczema and Crohn’s disease presents with a pruritic, red rash in the right and left popliteal regions. She works as a nurse and frequently scratches the back of her knees while on duty. This is the third time she has experienced such a popliteal rash. She reports having had similar skin conditions affecting her posterior neck and inguinal areas in the past.
Upon examination, both popliteal areas are inflamed with mild swelling and exudation. There are some accompanying vesicles and papules.
What is the most probable diagnosis?
A 25-year-old man presents to his General Practitioner with a 1-week history of an itchy rash in both his armpits and the flexor surfaces of his elbows on both sides. He states that this came on gradually and that he has had similar episodes in the past. However, none of them lasted more than one month.
He states that according to his mother, the first episode 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.
Which of the following is the most likely diagnosis?
Select ONE option only
A 26-year-old presents with a rash that developed after a camping trip. He mentions being bitten by a tick during the trip. He explains that the rash is red, not itchy, and began at the site of the bite before spreading outward. The center of the rash has now cleared, resulting in a bulls-eye appearance. What is the name of this rash?
A 16-year-old female comes in for a follow-up. Three days ago she visited her physician with complaints of a severe sore throat, fatigue, and headache. The doctor prescribed amoxicillin to treat an upper respiratory tract infection. However, two days ago she developed a pruritic maculopapular rash that has spread throughout her body. Additionally, her initial symptoms have not improved. What is the probable diagnosis?
A 28-year-old man presents to the emergency department with complaints of severe pain in his perineum and scrotum. He has type 2 diabetes that is currently well managed with dapagliflozin. Upon examination, a purple rash with bullae is observed covering the entire perineum and extending up the scrotum. The patient reports intense pain, but reduced sensation is noted upon palpation of the rash. Vital signs are as follows: BP 110/90 mmHg, heart rate 109bpm, respiration rate 21/minute, temperature 38.1ºC, and oxygen saturation 98% on room air. What is the likely diagnosis?
A 28-year-old newly qualified nurse presents with a bilateral erythematous rash on both hands. She has recently moved from the Philippines and has no significant medical history. The suspected diagnosis is contact dermatitis. What is the most appropriate test to determine the underlying cause?
Which of the following types of rash is commonly observed in the initial stages of Lyme disease?