Q&A 2: Itchy Hand
Another picture that could help you remember something from your studies. Friends who finished their dermatology cycle are welcome to tackle this question. Those that didn’t finish the cycle are also welcome to take part.
The kid is normal during examination. Do not have any kind of distress. Auscultation and percussions yeild normal results. Other examinations on other cutaneous parts of the body are unremarkable except for this lesion on his right hand. Before this, he was treated with topical antibiotic and antihistamines but is of minimal improvements. After one week, a repeat visit to the physician and further questioning revealed that they had been staying in multiple hotels during the vacation 1 week ago. The parents deny knowing any similar lesion on relatives and thsoe in contact with him.
Lesion on the right hand. Try your best to guess what is it.
Questions:
1. What’s the diagnosis?
2. What’s the treatment?
Answer will be announced on coming friday.
i’ll give it a try.
1. chicken pox . vesicles, pustules with surrounding erythema. Scaling is also seen.
2. disease is self limiting in children. symptomatic treatment only with paracetamol for fever, calamine lotion and antihistamines for itching.
in immunosuppresed, give acyclovir PO or IV
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ish..didnt read finish the anamnesis.
if its on the right hand only, wouldnt be chicken pox.
gotto rethink n re-tembak again.
1. contact dermatitis?
2. topical corticosteroids
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contact dermatitis
tx: topical CS
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answer day
1. scabies
2. treat with permethrin. apply from head to toe, rinse 12h later. repeat in 1 week.
why la no people attempt one.. dun la malu malu.. try more often! will try to ask something of the junior courses next time so that everybody can take part. Well, if you have any questions you like us to publish, let us know!
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ahh..i was wrong! But i think i picked up something new.
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