Taking a history & terminology Dr Iain Henderson GP Scotstoun Hospital Practitioner, Western...
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![Page 1: Taking a history & terminology Dr Iain Henderson GP Scotstoun Hospital Practitioner, Western Infirmary Basic Dermatology Day.](https://reader036.fdocuments.net/reader036/viewer/2022062516/56649d975503460f94a80d10/html5/thumbnails/1.jpg)
Taking a history& terminology
Dr Iain HendersonGP Scotstoun
Hospital Practitioner, Western Infirmary
Basic Dermatology Day
![Page 2: Taking a history & terminology Dr Iain Henderson GP Scotstoun Hospital Practitioner, Western Infirmary Basic Dermatology Day.](https://reader036.fdocuments.net/reader036/viewer/2022062516/56649d975503460f94a80d10/html5/thumbnails/2.jpg)
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Caesarian section
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Red Blood Count
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Herpes
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Diagnosis of skin disease
In medicine in general it is said that 80% of the diagnosis comes from taking a good history,
16% from a good examination and only
4% from investigations.
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Dermatology being such a visual specialty, the percentages of the first two may differ but the 96% of diagnoses from these still hold
true.
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Presenting complaint
Timing and site•Duration?•Where did it start?•Does it come and go?
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Presenting complaint
Nature of lesion/rash•What did it originally look like and has it changed?
•Has it spread locally or elsewhere?
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Presenting complaint
Symptoms•Does it itch? •Is it tender to touch?•Was there preceding pain e.g. in herpes zoster (shingles)?
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Presenting complaintRelieving/exacerbating factors
•Does anything make it worse e.g. heat, sunlight?
•Does anything make it better?
Age
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History takingPast medical history• Has the patient had a skin
problem before?• Is this the same?• Do they have a systemic
disease e.g. diabetes which may have accompanying skin features e.g. necrobiosis lipoidica?
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History taking
•Past medical history•Has there been any recent viral or bacterial illness •e.g. guttate psoriasis after a streptococcal throat?
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History takingDrug history•Have they tried any topical treatments themselves?
•Have they helped or made it worse?
•Ask about cosmetics in case they contain sensitisers causing dermatitis.
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History taking
Drug history
•What prescribed and over the counter oral medications have they taken? Important if one suspects a drug eruption.
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