Dermatology history example

  • What are the health history questions for skin?

    Introduction.
    Dermatology is the branch of medicine that deals with skin, mucous membranes, hair and nails.
    Although relatively straightforward to examine, the skin is the largest organ and has numerous potential abnormalities - there are about 1500 distinct skin diseases and many variants..

Aug 26, 2019Accurate history taking and examination are as important as in any other field of medicine. A systematic approach is required, although this may  HistoryExaminationDifferential diagnosis
Aug 26, 2019Dermatology is a field where pattern recognition and analysis are critical so experience is key - having seen something previously makes it much  HistoryExaminationDifferential diagnosis

What medical conditions are relevant to dermatological disease?

Medical conditions relevant to dermatological disease include:

  1. Diabetes (e
g. acanthosis nigricans, scleroderma diabeticorum, necrobiosis lipodica) Inflammatory bowel disease (e.g. pyoderma gangrenosum, erythema nodosum) Other medical conditions requiring systemic immunosuppression (increased risk of skin cancer) .
,

What should a doctor look for in a dermatologist?

Examination of the hair, nails and mucosae are also highlighted.
Physicians should be particularly aware of skin changes that could be associated with systemic disease such as:

  1. vasculitis or connective tissue disease

A careful history and thorough dermatological examination often allow diagnosis without the need for investigations.
,

What should be included in a dermatologic history?

Initially, the history should be brief and limited to the duration and location of the cutaneous disorder.
The dermatologic database should also include:

  1. the age
  2. skin shade
  3. sex
  4. occupation of the patient

Upon completion of the physical examination, a more appropriate, detailed, and relevant history may be obtained.

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