Seven Killer Causes of Fever and Rash Mnemonic: SMARTTT Sepsis Meningococcemia Acute endocarditis Rocky mountain spotted fever Toxic erythemas Toxic epidermal necrolysis Travel-related infections Onset of Rash with “X” Days of Fever Mnemonic: Very Sick Person Must Take Double Eggs Varicella (Chicken pox): 1st day (rash is often 1st sign…
Tag: Dermatology
Clinical Skills and Approaches 
Medical Significance of Bedbugs
Two species of bedbugs bite people: the common bedbug (Cimex lenticularis) and the tropical bedbug (Cimex hemipterous). These bugs are called udus (उडुस) in Nepali and khatmal (खटमल) in Hindi language. The adult bedbug is the approximate size, shape, and color of an apple seed. They are more commonly associated…
Clinical Skills and Approaches 
Eschar
Synonyms Tache noire Definition of Eschar An eschar is a local skin lesions coated by a thick coagulated crust or slough that usually results from burn or infection. Causes of Eschar Tick bite fever Scrub typhus Anthrax Tularaemia Spider bites Disseminated fungal infection Post-burn Diagnostic Clues Cigarette-burn Sign In scrub…
Clinical Skills and Approaches 
Skin signs of Dermatomyositis: Heliotrope rash, Grotton papules and Shawl sign
Dermatomyositis is a connective tissue disorder characterized by chronic inflammation of voluntary muscles and skin. It is more common in women and the age of onset is 50-70 years. A) Heliotrope Rash: It is a macular, confluent, purple or purple/red rash over both eyelids and periorbital tissue present with or…
Clinical Skills and Approaches 
Hematological Signs – Angular Stomatitis and Atrophic Glossitis
ANGULAR STOMATITIS/CHEILITIS Definition: Maculopapular and vesicular lesions grouped on the skin at the corners (or ‘angles’) of the mouth and the mucocutaneous junction. It is made worse by licking the lips. Causes: 1. Oral candidiasis 2. Poorly fitting dentures 3. Bacterial infection 4. Less common Nutritional deficiencies (especially riboflavin, iron and pyridoxine) Iron…
Clinical Skills and Approaches 
Dermatology Internship : 5 Common Skin Diseases Seen
Amidst the post-earthquake fear, we managed to complete our 15 days internship in the Dermatology department which was setup in the patient’s waiting hall. The posting went pretty well; the learning experience was fun – thanks to the teachers and seniors who provided us with friendly environment and guidance. A…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Cutaneous manifestation in thyroid disorders
Skin – Systemic Disease Connection “When a man has on the skin of his body a swelling or an eruption… and the disease appears to be deeper than the skin it is a leprous disease.” – Leviticus 13: 2-3 In ancient times changes in skin were taken to indicate the…
Leprosy: Etiopathogenesis, Classification and Complications
Synonyms: Hansen’s disease, Kushta roga, Mezels Definition: Leprosy is a chronic granulomatous disease, caused by Mycobacterium leprae which affects prinicpally the skin and peripheral nerves. Other commonly affected sites are the cooler parts of the body like mucosa of upper respiratory tract, anterior chamber of eyes and testes. The cooler…