HPI/Medical Abbreviations
The three most common symptoms asked for during a lesion check
Itching, bleeding, pain
The two medications most commonly used for localized anesthesia in preparation for Derm procedures
Lidocaine with epinephrine
67 y/o M patient: "I have a brown thing on my back, which I noticed a few months ago. It doesn't really bother me but I sometimes pick at it and it flakes off."
Ddx: ISK vs. Nevus
Trunk and extremities with stuck-on brown warty/verrucous papules
Seborrheic Keratoses
The age under which a pediatric patient must be accompanied by a legal guardian during his/her visit
18 years old
DDx
Differential diagnosis
Name 3 treatment options for warts
LN2, IL candida, IL bleomycin, OTC salicylic acid therapy
54 y/o M patient: "For the past few months, I've been developing some dry patches of rash that seem to radiate around my body. These are sometimes itchy and I don't use moisturizer as often as I should. Most often on my lower legs.
Ddx: Asteototic (dry skin) eczema vs. Xerosis
Verrucous papule with thrombosed capillaries
Wart or Verruca
A benign type of mole that is generally present since birth
Congenital Nevus
MMIS
Malignant Melanoma In Situ
The oral medication commonly used to treat hormonal acne; considered a "water" pill
Spironolactone
32 y/o F patient: "Also, I've been noticing that my face tends to get red. It becomes worst when I'm out in the sun and I seem to notice it more after I wash my face with my Clinique face wash. For the past few days, I've just been washing my face with water, which seems to help. it's only occasionally itchy."
Ddx: Rosacea vs. Allergic/irritant contact derm to product
Firm dimpling papule ("with dimpling sign")
Dermatofibroma
Diagnosis associated with dry follicular papules of the cheeks, posterior arms and thighs
Keratosis Pilaris (KP)
DIF
Direct Immunofluorescence
Name 4 required elements to be completed prior to sending a prescription of isotretinoin
- Labs WNL, including hCG (pregnancy test)
- Monthly check-in for discussion of tolerance of the medication course
- Confirmation of two firms of birth control
- Registration/clearance on iPledge
6 y/o F patient (history per mother): "We first noticed these small bumps on her skin a few weeks ago and they seem to be spreading in number. The bumps don't bother her but she's also been developing rashes around her bumps which are occasionally itchy. OTC hydrocortisone helps with the rash but the bumps persist."
Ddx: Molluscum contagiosum with overlying molluscum dermatitis/atopic dermatitis
Well-demarcated thickened plaques with silvery scale, commonly on the elbows and knees
Psoriasis
Another word for age at first menstrual period
Menarche
Upon exam, bruises are found on the patient's body. He/she does not recall of any specific instances of known trauma. What subjective question should be asked and recorded in the HPI?
Does the patient feel safe at home?
The first medication ever approved for adults with moderate-severe atopic dermatitis - approved by the FDA in 2017 and commonly administered by self-injections
Dupixent or Dupilumab
24 y/o F patient: "My acne has been bothersome my whole life. It affects me the most on my jawline and around my chin. I've always had irregular periods and I haven't tried any treatment options.
I've also been noticing more hair growth on my face and chest. I usually wax this."
Ddx: Acne Vulgaris and Hirsutism in setting of probable Polycystic Ovarian Syndrome (PCOS)
Another phrase for "on ELM"
Upon dermoscopy
What are two markers for atopy (predisposition to atopic dermatitis and other allergic types of reactions)
Seasonal allergies and asthma