Practical Sessions G10

📌📌Channel Content 📌📌 ▪︎This Channel Is For 5th Stage Practical Sessions ▪︎Joining Link ➡️ https://t.me/+dTJu5b1nlyc4Mzcy 🔴Medicine Course 1. Psychiatry 2. Neurology 3. Pediatric 5. Rheumatology 6. Dermatology 🔴Surgery Course 1.Neurosurgery 2.Paediatric Surgery  3.Urology  4.ENT  5.Gynecology 6.Orthopedic

وَآخِر دَعْوَاهُمْ أَنْ الْحَمْد لِلَّهِ رَبّ الْعَالَمِينَ

End Of Dermatology

🔴 Mx 🔰Warts 1. Topical Salicylic Acid 2. Imiquimod Cream 3. FluroUracil Cream 4. ElectroCautery 5. Nitrogen CryoTherapy 6. Curretage 🔰Molluscum ConTagiosum ➡️ Curretage/CryoSurgery/Topical Imiquimod/Topical Steroids 🔰Herpes Simplex/Varicella ➡️ Acyclovir 🔰Pityriasis Rosea ➡️ Topical Steroids/Anti Histamines/Acyclovir 🔰Tinea Capitis/Barbae ➡️ Systemic AntiFungal (Griseofulvin/Fluconazole/Terbinafine) 🔰Tinea Pedis/Corporis/Cruris/Manuum ➡️ Topical AntiFungal (Terbinafine Cream) 🔰Candidiasis ➡️ Topical Miconazole/Nystatin Cream (For Oral Thrush) 🔰Pityriasis Versicolor ➡️ Ketoconazole Shampoo/Selenium Sulfide Suspension 🔰Cutaneous Leshmensiasis ➡️ Intralesional Sodium StiboGluconate (Pentostam) 🔰Scabies/Pediculosis ➡️ Clothes Disinfection/Sulfur Or Permethrin Cream/Anti Histamines 🔰Psoriasis ▪︎Mild & Localized (<20% Body Involvement) ➡️ Topical Steroids/Calcipotriol/Dithranol/Salicylic/Coal Tar/UVB ▪︎Extensive & Severe (>20%) ➡️ Systemic Methotrexate/Acitretin/CylcoSporine 🔰Lichen Planus ▪︎Mild Case ➡️ Potent Topical Steroids ▪︎Severe Case ➡️ Systemic Steroids/PUVA/CicloSporin/Acitretin ▪︎Itching ➡️ Anti Histamine ▪︎Oral/Genital Lesion ➡️ Topical Steroids/Calcineurin Inhibitors 🔰Stasis Dermatitis ➡️ Tx Of Varicosities/Leg Elevation/Wet Dressing/Topical AB & Steroids/Anti Histamines 🔰Dermatitis 1. Avoid Triggers 2. Emollients 3. Topical Steroids/AB 4. Anti Histamines 5. Severe/Chronic Cases ➡️ Systemic Steroids/Ciclosprine 🔰Acne Vulgaris ➡️ Retinoid/AB (Clindamycin) 🔰Rosacea (Central Facial Erythema) ➡️ Topical Metronidazole & Tetracycline

🔴 DDX 🔰Scalp Lesion 1. Tinea Capitis 2. Scalp Psoriasis 3. Seborrheic Dermatitis 4. Carbuncle 🔰Oral/Labial Lesion 1. Herpes Simplex 2. Impetigo 3. Contact Dermatitis 🔰Bear & Moustache Lesions 1. Tinea Barbae 2. Sycosis Barbae 3. PsuedoFolliculitis Barbae 4. Folliculitis 🔰Skin folds Lesion 1. Tinea Cruris 2. Candida Intertrigo 3. Psoriasis Inversus 4. Contact Dermatitis 🔰Warty Lesion (HyperKeratotic Papules) 1. Warts (HPV) 2. Molluscum ConTagiosum (Pox Virus) 3. Skin Tags 🔰Genital Lesions 1. Condylomata Accuminata (HPV) 2. Condylomata Lata (Syphilis) 🔰Rounded Well Demarcated Plaque 1. Tinea Corporis (Central Clearing) 2. Discoid Eczema 3. Herale Patch Of Pityriasis Rosea 4. Plaque Psoriasis 🔰Multiple Red Papules 1. Guttate Psoriasis 2. Chickenpox (VZV) 3. Fixed Drug Eruption 4 Eruptive Secondary Syphilis 5. Eruption Of Pityriasis Rosae 6. Scabies 🔰Hypo Or Hyper Pigmented Patches 1. Pityriasis Versicolor (Fungal) 2. Pityriasis Rosea (HHV6) 3. Pityriasis Alba (Atopy) 4. Vitiligo 5. Post inflammatory Hypopigmentation 🔰Hand Dryness & Scaling & Fissuring 1. Hand Dermatitis 2. Palmar Psoriasis 3. Tinea Manuum 🔰Lesion At Side Of Hand Or Sole 1. DisHydrotic Eczema 2. ID Reaction 🔰Lesion At Umbilicus 1. Hemangioma 2. Melanocytic Nevus 3. Warts 🔰Nail Lesion 1. Nail Psoriasis 2. Onychomycosis (Tinea Unguium) 🔰Ulcer Lesion 1. Cutaneous Leshmensiasis 2. Primary Syphilis (Chancer) 3. BCC/SCC 4. lupus Vulgaris 5. Ecthyma 6. Stasis Dermatitis 🔰Scarring Alopecia 1.Inflammatory Tinea capitis (Kerion/Favus) 2.Lichen planopilars 3.Discoid Lupus 4.Burns/Trauma 5.Carbuncle 🔰Non scaring Alopecia 1.Alopecia Areata 2.Tractional Alopecia (By Hair Styles) 3.Trichotillomania (Hair Pulling) 4.Non inflammatory Tinea Capitis

🔴 Differences 🔹Tinea Cruris ➡️ Affect Groin/No Scrotal Involvement/Unilateral 🔹Candida Intertigo ➡️ Affect Groin/Scrotal Involvement/Bilateral ❇️❇️ 🔹Diaper Candidiasis ➡️ Groin Folds Affected 🔹Diaper Dermatitis ➡️ Normal (Spared) Groin Folds ❇️❇️ 🔹Common Warts ➡️ Rough Surface/Black Dots After Scraping 🔹Molluscum ConTagiosum ➡️ Smooth Surface/Dome Shape/Umbilicated ❇️❇️ 🔹Planter Warts ➡️ Thick Painful Callus On The Planter Surface Of foot/Bleed After Scraping/Have Black Dots 🔹Corn ➡️ Hard Painful Translucent Central Core/No Bleeding/No black Dots ❇️❇️ 🔹Sycosis barbe ➡️ Staph.Aureus Bacterial Infection/Difficult Painful Hair Pulling 🔹Tinea barbae ➡️ Fungal Infection/Painless Easy Hair Pulling/More Extensive Inflammation 🔹PsuedoFolliculitis Barbe ➡️ Inflammation Of Ingrown Curled Hair After Shaving Then Secondarily Infected ❇️❇️ 🔹Genital Warts (Condylomata Acuminata) ➡️ Cauliflower Like Mass/Rough pointed Surface/pedunclated 🔹Condylomata Lata (Secondary Syphilis At Genital Area) ➡️ Smooth flat Surface Papules/non pedunculated ❇️❇️ 🔹Pityriasis Alba ➡️ Hypopigmentation/Unknown Cause 🔹Pityriasis Versicolor ➡️ Hypo Or Hyper Pigmentation/Fungal Infection (Malazessia Furfur) 🔹Pityriasis Rosea ➡️ Herald Patch Then Eruption/By HHV6 ❇️❇️ 🔹Cellulitis ➡️ Deep skin Infection/By Strept/Staph/H.Influenza/Poor Demarcation 🔹Erysipelas ➡️ Superficial Skin Infection/By Streprt/ Well Demarcation 🔹Erysipeloid ➡️ Same Lesion As Erysipelas But Without Constitutional Symptoms

🔰 Different Types Of Skin Lesions

🔰Skin Lesions Nomenclature

🔴 PapuloSquamous & Eczema Lesions 🔰Psoriasis ➡️ Scaling/Plaques/Papules/No Itching 🔹Plaque Pattern ➡️ Well Demarcated SalmonPink Plaques With Silver Scales 🔹Guttate Pattern ➡️ Multiple Drop Of Water Size Red Papules With Scaling 🔹Scalp Pattern ➡️ Discoid Or Band Like Plaque Along Anterior Hair Line With Scaling 🔹Flexural Pattern ➡️ Erythematous Plaque Devoid Of Scales/Itchy 🔹Nail Pattern ➡️ Pitting/Onycholysis/Oil Drop/Splinter Hemorrhage/HyperKeratosis 🔹Palms & Soles Pattern ➡️ Erythema/Plaques & Scales/Pustules/Sharp Demarcation At Wrist 🔹Acute Generalised Pustules & Erythema 🔹Erythrodermic pattern ➡️ Generalised Erythema & Scaling 🔰Lichen Planus ➡️ Violaecous Flat Topped Papules + Wickhams Striae + Very Itchy + Oral Lesion 🔰Atopic Dermatitis ➡️ Erythema/Vesicles/Crust 🔰Seborrheic Dermatitis ➡️ Itchy Red Erythematous Patches With Greasy Yellow Scales 🔰DysHidrotic Eczema ➡️ Deep Vesicles With Fluid On side of Hand & Fingers & Soles 🔰Discoid Eczema ➡️ Rounded Well Demarcated Patches Seated With Vesicles Or Scales/On Extensor Surfaces/Very Itchy 🔰Stasis Eczema ➡️ Dry/Red/Edematous Scales & Crusts 🔰House Wife Dermatitis ➡️ Painful Fissures/Scales & Crusts 🔰Napkin Dermatitis ➡️ Well Demarcated Erythema & Erosions/Spared Skin Folds 🔰Urticaria ➡️ Elevated (Edematous) Wheals On Erythematous Base/Transient/Itchy