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DERMATOLOGY Archer’s Online USMLE Reviews www.ccsworkshop.com   All Rights reserved
Dermatology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
This adolescent boy complained of chronic and recurrent scaly white spots on his trunk for years.   The scaling cleared with topical selenium sulfide lotion but the pigment took 4 months to recover.
Pityriasis Versicolor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What do u do about Acne? Advise to pts, medical management, exacerbating factors etc
Acne - Ask Pts to avoid These! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Moderate Acne Vulgaris Management  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Severe Acne Vulgaris ,[object Object],[object Object],[object Object],[object Object],[object Object]
Isotretinoin ( Accutane) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Isotretinoin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Acne rosacea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acne Rosacea – D/D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rosacea may be associated with enlargement of the nose from excess tissue, a condition known as rhinophyma    includes thickening of the skin and irregular surface nodules Rx  Early cases    antibiotics Late cases    surgery
Alopecia Areata ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alopecia areata - Rx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Corticosteroids
Topical Steroids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vitiligo
Koebner Phenomenon - vitilgo
Treatment - Vitiligo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scabies
Scabies
Scabies - Clues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mineral Oil Scraping Under Light Microscope ,[object Object]
Scabies in Nursing Home pts ,[object Object]
Scabies Drug therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lichen Planus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advise Pts – Lichen Planus ,[object Object],[object Object]
This patient has joint pains and scaly patch behind his ear. What is the most likely cause of his findings?
Psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psoriasis - Rx ,[object Object],[object Object],[object Object]
Atopic dermatitis  ,[object Object],[object Object]
Tinea cruris + picture ,[object Object]
A 25 y/o man presents with the lesion shown on his lower lip. What is the treatment?
Herpes Labialis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A healthy 20 year old female come with history of  paroxysmal lip swelling.  In the past , her doctor tried solumedrol and benasdryl but they never seem to make it better.  She says the swelling comes and goes spontaneously.  She has had negative skin prick testing
Angioedema  ,[object Object],[object Object],[object Object]
Hereditary Angioedema ,[object Object],[object Object],[object Object],[object Object],[object Object]
Genital Warts Only Pics Therapy – refer I.D  Slides
Genital warts - The real HPV - Differentiate from Benign Lesions
Pearly Penile Papules - A benign Lesion at corona - do not confuse with Warts! – Reassure patients!
Fordyce Spots - vulva – These are Sebaceous glands - do not confuse with warts!
Scabies can occur in Genital Areas - Do not confuse with warts!  ,[object Object],[object Object]
Q.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Porphyria Cutanea Tarda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
C/F and Rx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Erythema Multiforme ,[object Object],[object Object],[object Object]
Erythema Nodosum ,[object Object],[object Object],[object Object]
Actinic Keratoses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Seborrheic Keratoses ,[object Object],[object Object],[object Object]
Basal cell carcinoma ,[object Object],[object Object],[object Object]
Contact Dermatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Dermatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subacute Contact Dermatitis from a mild irritant – like eg: Bacitracin in the first picture and wool clothing in fig.2 – Note the prolonged exposure must have led to  dryness followed by erythema and lichenification ,[object Object],[object Object]
Nickel Contact Dermatitis ,[object Object]
Question ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ans. B ,[object Object],[object Object],[object Object]
Malignant Melanoma ,[object Object]
RASHES ,[object Object],[object Object]
IMAGES ,[object Object],[object Object],[object Object]

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Archer Dermatology USMLE step 3

  • 1. DERMATOLOGY Archer’s Online USMLE Reviews www.ccsworkshop.com All Rights reserved
  • 2.
  • 3. This adolescent boy complained of chronic and recurrent scaly white spots on his trunk for years.  The scaling cleared with topical selenium sulfide lotion but the pigment took 4 months to recover.
  • 4.
  • 5. What do u do about Acne? Advise to pts, medical management, exacerbating factors etc
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Rosacea may be associated with enlargement of the nose from excess tissue, a condition known as rhinophyma  includes thickening of the skin and irregular surface nodules Rx Early cases  antibiotics Late cases  surgery
  • 15.
  • 16.
  • 18.
  • 21.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. This patient has joint pains and scaly patch behind his ear. What is the most likely cause of his findings?
  • 31.
  • 32.
  • 33.
  • 34.
  • 35. A 25 y/o man presents with the lesion shown on his lower lip. What is the treatment?
  • 36.
  • 37. A healthy 20 year old female come with history of paroxysmal lip swelling.  In the past , her doctor tried solumedrol and benasdryl but they never seem to make it better.  She says the swelling comes and goes spontaneously.  She has had negative skin prick testing
  • 38.
  • 39.
  • 40. Genital Warts Only Pics Therapy – refer I.D Slides
  • 41. Genital warts - The real HPV - Differentiate from Benign Lesions
  • 42. Pearly Penile Papules - A benign Lesion at corona - do not confuse with Warts! – Reassure patients!
  • 43. Fordyce Spots - vulva – These are Sebaceous glands - do not confuse with warts!
  • 44.
  • 45.
  • 46.  
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.