Identification and Treatment of Common Rashes in Primary Care Rex Largen, MD

BRYAN HEALTH PRIMARY CARE CONFERENCE

I have no financial disclosures or conflicts of interest to report.

BRYAN HEALTH PRIMARY CARE CONFERENCE

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. B. Tinea Corporis C. Pityriasis Rosea D. Secondary Syphilis What is the best way to treat this rash?

A. Topical Clotrimazole B. Topical Terbinafine C. Oral Terbinafine D. Oral Fluconazole What is the diagnosis? A. Psoriasis B. Tinea Corporis C. Pityriasis Rosea D. Secondary Syphilis What is the best way to treat this rash?

A. Observation B. Topical Cream C. D. Sunlight E. All of the Above Case 3: History 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 Case 4: History What is the diagnosis? A. Guttate Psoriasis B. Tinea Corporis C. Pityriasis Rosea D. Secondary Syphilis E. Nummular 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 What type of drug reaction is this?

A. Drug‐induced Hypersensitivity Reaction B. Exanthematous C. Fixed Drug Eruption D. Stevens‐Johnson Syndrome E. Vasculitis What is the best way to treat this rash?

A. Reassurance B. Topical C. Oral Antihistamines D. All of the Above

Case 6: History What is the likely diagnosis?

A. Bullous Pemphigoid B. Erythema Migrans C. Fixed Drug Eruption D. Spider Bite E. Vasculitis What is the best way to treat this eruption?

A. Stop Offending Drug B. Potent Topical C. Prednisone D. A and B 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. 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 Thank you‐

Questions? Rex Largen, MD

BRYAN HEALTH PRIMARY CARE CONFERENCE