Molluscum contagiosum
196 Molluscum contagiosum Instruction Look at these skin lesions. Salient features History • Ask the patient whether there are similar lesions elsewhere (particularly genitals). Examination • Multiple rounded, dome-shaped, waxy…
Fungal nail disease
190 Fungal nail disease Instruction Look at this patient’s toenails. Salient features History • Embarrassment from a cosmetic perspective • Mechanical problems including the fact that nails get snagged in…
Erythema nodosum
189 Erythema nodosum Instruction Look at this patient’s shins. Salient features History • Elicit a history of: • fever (may precede the skin lesions by 1–7 days) • painful nodules…
Arterial leg ulcer
188 Arterial leg ulcer Instruction Look at this patient’s leg. Salient features History • Intermittent claudication • History of underlying cardiovascular or cerebrovascular disease • Pain in the distal foot…
Atopic dermatitis (eczema)
186 Atopic dermatitis (eczema) Instruction Look at this patient’s skin. Salient features History • Pruritus: this an important symptom because it affects the quality of life • Tell the examiner…
Venous ulcer
187 Venous ulcer Instruction Look at this patient’s leg. Salient features History • Varicose veins; ask about duration • Past history of venous thromboembolism • Duration of ulceration and whether…
Dermatitis herpetiformis
178 Dermatitis herpetiformis Instruction Look at this patient’s skin, who in the past had chronic diarrhoea. Salient features History • History of diarrhoea • History of gluten intolerance (although these…
Peutz–Jeghers syndrome
181 Peutz–Jeghers syndrome Instruction Look at this patient’s face. Salient features History • Pain in the abdomen as a result of intestinal intussusception • Haemorrhage in the upper GI tract…
