The simple rule in dermatology is:
“If it’s dry, wet it and if it’s wet, dry it.” It’s my 5th day of dermatology. It’s more of a clinic-based posting with the warded patients amounting only up to single digits.
So far, it has been rather interesting. Everyone has some form of skin problem whether it disturbs their lives or not. plus, I never knew that blackheads (open comedones) or whiteheads (closed comedones) were considered as mild acne... hmm.
Among the common problems that present to the clinic are eczema and psoriasis. A lot of patients also come for cryotherapy for their viral warts.
One interesting skin infection is tinea imbricata which is found only among the orang Asli community in south east asia (u can’t really find out much about it from the internet cause they don’t have it in the western world). The causative organism is Trychophan concentricum, a dermatophyte that causes concentric lesions on the skin. The lesion look like printed patterns on the skin (macam corak yang cantik). During my public health posting in Pekan, I saw one Orang Asli lady with such a pattern on her back and arms and was suspicious of it not being normal. Only later did I know of this infection. Since the condition is rather common among this community, someone who hasn’t got the infection is considered different, hehe.
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unique tinea imbricata markings (not the average patterns of a ringworm)
According to our dermatologist, Dr Anis, who btw is one of the kindest persons in the world, most of the medication were discovered after the 1950's. before that, the medical world did a great job at describing the diseases. some diseases have self-explanatory names, only that they're in latin.
alopecia areata just means a bald patch and prurigo nodularis means itchy nodules.
they actually didn't know much about the disease so they gave it a name that the patients didn't understand. hehe.
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alhamdulillah the radilogy test is over. there were images which were very obvious like miliary TB and those that i couldn't really make out i.e ? ascending urogram (i cant even remember what they looked like). we were given 5 minutes each for 10 questions. baru je dpt figure out the lesion, dah kene move on to the next question. whatever it is, life goes on.
on the 3rd day of dermato, we had a mass test which involved the whole class. Dr Anis included the very, very common pictures which are the important ones that we have to know. there were a few tricky ones i.e most of us mistook tinea capitis (ringworm infection of the scalp usually in children) for alopecia areata (autoimmune bald patch of adults)...hehe
no more tests until our final exams in april, yay!