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Identification and Treatment of Common Rashes in Primary CareRex Largen, MD
BRYAN HEALTH
PRIMARY CARE CONFERENCE
I have no financial disclosures or conflicts
of interest to report.
BRYAN HEALTH
PRIMARY CARE CONFERENCE
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What is the best way to confirm the diagnosis?A. Bacterial culture
B. Direct fluorescent antibody
C. Fungal culture
D. Potassium hydroxide (KOH) exam
What is the diagnosis?A. Psoriasis
B. Tinea Corporis
C. Pityriasis Rosea
D. Secondary Syphilis
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What is the best way to treat this rash?A. Topical Clotrimazole
B. Topical Terbinafine
C. Oral Terbinafine
D. Oral Fluconazole
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What is the diagnosis?A. Psoriasis
B. Tinea Corporis
C. Pityriasis Rosea
D. Secondary Syphilis
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What is the best way to treat this rash?A. Observation
B. Topical Triamcinolone Cream
C. Prednisone
D. Sunlight
E. All of the Above
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Case 3: History
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What is the diagnosis?A. Guttate Psoriasis
B. Tinea Corporis
C. Pityriasis Rosea
D. Secondary Syphilis
What is the best way to treat this rash?A. Topical Fluocinonide Cream
B. Prednisone
C. Ultraviolet B light
D. Oral antibiotic
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Case 4: History
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What is the diagnosis?A. Guttate Psoriasis
B. Tinea Corporis
C. Pityriasis Rosea
D. Secondary Syphilis
E. Nummular Dermatitis
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What is the best way to treat this rash?A. Topical Fluocinonide Cream
B. Prednisone
C. Ultraviolet B light
D. Oral antibiotic
E. IM Kenalog
Case 5: History
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What type of drug reaction is this?A. Drug‐induced Hypersensitivity Reaction
B. Exanthematous
C. Fixed Drug Eruption
D. Stevens‐Johnson Syndrome
E. Vasculitis
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What is the best way to treat this rash?A. Reassurance
B. Topical Corticosteroids
C. Oral Antihistamines
D. All of the Above
Case 6: History
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What is the likely diagnosis?A. Bullous Pemphigoid
B. Erythema Migrans
C. Fixed Drug Eruption
D. Spider Bite
E. Vasculitis
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What is the best way to treat this eruption?
A. Stop Offending Drug
B. Potent Topical Corticosteroid
C. Prednisone
D. A and B
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Case 7: History
HPI:Ms. Smith is a 27 year‐old white woman with a 6 month history of a red, scaly, papular eruption involving the skin around her nose and mouth. A friend gave her some fluocinonide cream which initially helped but the rash has now progressed.
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What is the likely diagnosis?A. Impetigo
B. Cutaneous Candidiasis
C. Perioral Dermatitis
D. Herpes Simplex
What is the best way to treat this eruption?
A. Discontinue Fluocinonide Cream
B. Doxycycline
C. Prednisone
D. Metronidazole Cream
E. A, B, and D
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Thank you‐
Questions? Rex Largen, MD
BRYAN HEALTH
PRIMARY CARE CONFERENCE