Spot Dx

What is the most likely diagnosis?
  • BCC
  • Impetigo
  • Junctional naevus
  • Roseola
  • Nodular melanoma
  • Facial naevus
  • Pityriasis versicolor
  • Actinic keratosis
  • Keratoacanthoma
  • Lentigo maligna melanoma
  • Pityriasis rosea
  • Bowen disease
  • Seborrhoeic keratosis
  • Dermal naevus
  • Cutaneous horn
  • Slapped cheek
  • Molluscum
  • Rubella
  • Scabies
  • Plantar warts
  • Guttate psoriasis
  • Measles
  • Common wart
  • Superficial spreading melanoma
  • SCC
  • Chickenpox
  • Next
    • BCC
    • Impetigo
    • Junctional naevus
    • Roseola
    • Nodular melanoma
    • Facial naevus
    • Pityriasis versicolor
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    For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
    In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
    • Burn dressings edit
    • Compression stockings edit
    • Cryotherapy edit
    • Excision item numbers edit
    • Foreign body removal edit
    • Incision and drainage edit
    • Ingrown toenail excision edit
    • Laceration repair edit
    • Oral antifungals edit
    • Safe paralysis tick removal: Squeeze don’t Freeze, and Dab don’t Grab! edit
    • School exclusion periods edit
    • Skin checks edit
    • Topical antifungals edit
    • Topical steroids edit
    • Wet dressings edit
    • Wound care edit
    For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
    • Acrodermatitis enteropathica edit
    • Acrodermatitis enteropathica edit
    • Actinic keratosis edit
    • Alopecia areata edit
    • Amelanotic melanoma edit
    • Angioma edit
    • Arterial leg ulcer edit
    • BCC edit
    • Bowen disease edit
    • Chickenpox edit
    • Comedone edit
    • Common wart edit
    • Compound naevus edit
    • Cutaneous horn edit
    • Dermal naevus edit
    • Dermatitis herpetiformis edit
    • Dermatofibroma edit
    • Dermatomyositis edit
    • Diabetic leg ulcer edit
    • Discoid eczema edit
    • Dysplastic naevus edit
    • Eczema edit
    • Epidermolysis bullosa edit
    • Erythema multiforme edit
    • Erythema nodosum edit
    • Erythromelalgia edit
    • Facial naevus edit
    • Granuloma annulare edit
    • Guttate psoriasis edit
    • Impetigo edit
    • Ingrown toenail edit
    • Junctional naevus edit
    • Keratoacanthoma edit
    • Lentigo maligna melanoma edit
    • Lichen planus edit
    • Lichen sclerosus edit
    • Lichen simplex chronicus edit
    • Lipoma edit
    • Loose anagen syndrome edit
    • Malignant leg ulcer edit
    • Measles edit
    • Molluscum edit
    • Mycosis fungoides edit
    • Necrobiosis lipoidica edit
    • Nodular melanoma edit
    • Onychomycosis edit
    • Pemphigoid edit
    • Pityriasis alba edit
    • Pityriasis rosea edit
    • Pityriasis versicolor edit
    • Plantar warts edit
    • Plaque psoriasis edit
    • Porphyria edit
    • Pyoderma gangrenosum edit
    • Roseola edit
    • Rubella edit
    • Scabies edit
    • SCC edit
    • Sebaceous cyst edit
    • Seborrhoeic keratosis edit
    • Secondary syphilis edit
    • Shingles edit
    • Slapped cheek edit
    • Solar lentigo edit
    • Spider telangiectasia edit
    • Superficial spreading melanoma edit
    • Telogen effluvium edit
    • Tinea corporis edit
    Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
    Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag features, the most common differentials, as well as the most dangerous and most often missed (see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
    Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.
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