History Taking AND Physical Examination OF Dermatology PDF

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HISTORY TAKING AND PHYSICAL EXAMINATION OF DERMATOLOGY HISTORY 

Chief complaint



History presenting illness



Past medical history



Past surgical history



Drug history



Family history



Social history

History Presenting Illness 

Onset and duration kin lesion



Character of rash : itch, burn, hurt



The first episode



Evolution of individual lesions



Exacerbating factors : o

Relationship to sunlight, heat, cold, menses



Distrivution : spread



Associated symptoms : o

Pain

o

Numbness

o

Constitutional symptoms

o

Joint pain

o

Hair loss

o

Previous treatment

Past Medical / Surgical History 

Past history of skin disorder or general medical history



Atopy diseases :

o

Asthma

o

Eczema

o

Allergic rhinitis

o

Chicken pox

o

Diabetes mellitus

o

Connective tissue diseases

o

Inflammatory bowel diseases

o

Skin malignancy

Drug History 

Daily medications or any new medications taken



Drug allergy

Family History 

Atopy diseases



Skin malignancy

Social History 

Occupation



Environmental exposure



Hobbies



Travel history



Risk factors HIV : o

Sexual promiscuity

o

IV drugs

o

STIs

o

Blood transfusion

Skin Examination 

Introduce self



Sanitize hand, use gloves for moist area : groin, axilla, oozing crusted lesions



Patient’s position : seated with legs draped over side of bed



Start with head and neck o

Back of scalp

o

Postauricular folds

o

Back of neck



Palpate ymph nodes on neck area : cervical, supraclavicular LN



Arms : fingernails, palms, underarms



Palpate axillary lymph nodes



Lie supine



Chest examination, examine breast for female



Abdomen , cover groin area



Genital area examination



Palpate inguinal lymph nodes



Legs



Feet : dorsal feet, interdigital spaces



Lie prone



Back of trunk, buttocks, intergluteal rea, heels and soles...