DERMATOLOGY

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Prof. Shahid Javaid Akhtar

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Dermatologic Approach
Examination

History
Re-examination

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Provisional
Lab. Final

Diagnosis

Investigations Diagnosis

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Treatment
Education/reassurance General Specific

measures treatment

Topical Systemic Specialized

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Presenting Complaint
Morphology Pattern Distribution

Duration
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Basic Morphological Terms

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Macule/Patch
Alternation in color

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Papule/Nodule/Plaque
Palpable lesions
< 0.5 cm 0.5-2 cm

> 2 cm
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Tumor
Protuberant growth

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Vegetations
Finger like projections

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Vesicle/Bulla
Clear fluid containing lesions

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Pustule/Abscess
Pus containing lesion

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Scale
Exfoliating epidermal cells

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Crust
Dried up exudates &/or blood

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Erosion Ulcer Excoriation Fissure

Breach in skin
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Lichenification
Thickened skin with exaggeration markings

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Atrophy/Scarring
Loss of substance/skin marking

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Sclerosis
Hide-bound skin

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Telangiectasia
Visible dilated blood vessels

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Poikiloderma
Pigmentation Atrophy Telangiectasia

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Burrow
Small tunnel in skin

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Comedo
Plug of keratin & sebum

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Presenting Complaint

Morphology

Pattern
Distribution

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Duration
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Pattern/Arrangement
Isolated
Scattered Linear Grouped

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...
Segmental

Annular
Polycyclic Reticular

Geographic
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Presenting Complaint

Morphology

Pattern
Distribution

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Duration
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Distribution
Anatomical area affected

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Presenting Complaint

Morphology

Pattern
Distribution

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Duration
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Duration of the present lesions

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Prerequisite for Exam.

Light
Exposure Eyesight

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