Discover and read the best of Twitter Threads about #derm101
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You've seen rashes and called them all "maculopapular," because, why not?
Does describing something accurately really make a difference?
9 words to improve your life... when calling a derm consult.
Does describing something accurately really make a difference?
9 words to improve your life... when calling a derm consult.
Macules are flat lesions, less than 1 cm in diameter.
If you closed your eyes and ran your finger over it, you wouldn't feel where it starts and stops.
👀Idiopathic guttate hypomelanosis
If you closed your eyes and ran your finger over it, you wouldn't feel where it starts and stops.
👀Idiopathic guttate hypomelanosis
Papules are raised (or depressed) lesions, less than 1 cm in diameter.
Unlike macules, if you closed your eyes and ran your finger over it, you'd be able to tell where the lesion is.
👀Compound nevi
Unlike macules, if you closed your eyes and ran your finger over it, you'd be able to tell where the lesion is.
👀Compound nevi
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While we're all doom-scrolling through Twitter, I thought I could help provide some distraction for #medtwitter, #dermtwitter & #medstudenttwitter.
A #Derm101 #tweetorial on the #dermatology exam:
REACTION PATTERNS!
AKA: "How a dermatologist approaches a rash!"
pc:@AADskin
While we're all doom-scrolling through Twitter, I thought I could help provide some distraction for #medtwitter, #dermtwitter & #medstudenttwitter.
A #Derm101 #tweetorial on the #dermatology exam:
REACTION PATTERNS!
AKA: "How a dermatologist approaches a rash!"
pc:@AADskin
2/
So what exactly is a reaction pattern? It's an organizational way to think about rashes so that we can bucket them. There are FIVE main reaction patterns:
1) Papapulosquamous
2) Eczematous
3) Dermal
4) Vascular
5) Vesicobullous
Which reaction pattern was that last photo?👆
So what exactly is a reaction pattern? It's an organizational way to think about rashes so that we can bucket them. There are FIVE main reaction patterns:
1) Papapulosquamous
2) Eczematous
3) Dermal
4) Vascular
5) Vesicobullous
Which reaction pattern was that last photo?👆
3/
It's PAPULOSQUAMOUS! The name means it's papular (raised) with scale. The prototypical rash for these is psoriasis, which is that 1st photo! Notice how in darker skin, the erythema of psoriasis is harder to see!
Here's a whole #tweetorial I made:
It's PAPULOSQUAMOUS! The name means it's papular (raised) with scale. The prototypical rash for these is psoriasis, which is that 1st photo! Notice how in darker skin, the erythema of psoriasis is harder to see!
Here's a whole #tweetorial I made:
1/
Time for another #morphology #Derm101 series #tweetorial on the skin exam. Today, we'll cover:
DISTRIBUTION
How the location a rash occupies on the body might help us with the differential diagnosis!
#FOAMEd #MedEd #medtwitter #dermtwitter #medstudenttwitter #dermatology
Time for another #morphology #Derm101 series #tweetorial on the skin exam. Today, we'll cover:
DISTRIBUTION
How the location a rash occupies on the body might help us with the differential diagnosis!
#FOAMEd #MedEd #medtwitter #dermtwitter #medstudenttwitter #dermatology
2/
An important point to start:
Distribution is LEAST important in the skin exam. Primary & secondary lesions, configuration & scale are all better in informing our DDx.
I tell my learners that if confused about a rash, pretend it's elsewhere on the body & see if that helps.
An important point to start:
Distribution is LEAST important in the skin exam. Primary & secondary lesions, configuration & scale are all better in informing our DDx.
I tell my learners that if confused about a rash, pretend it's elsewhere on the body & see if that helps.
3/
Also - throughout this #tweetorial, I will try to display skin disease in lighter & darker skinned patients side by side. Remember in darker skin, erythema is harder to see, so I hope this highlights the point!
A question: In tweet 1, what distribution is shown in the photo:
Also - throughout this #tweetorial, I will try to display skin disease in lighter & darker skinned patients side by side. Remember in darker skin, erythema is harder to see, so I hope this highlights the point!
A question: In tweet 1, what distribution is shown in the photo:
1/
OK team, #tweetorial #3 in our #Derm101 series on the #dermatology exam. Today, let's discuss:
CONFIGURATION!
How primary lesions are grouped or shaped. Read on to learn more!
#dermtwitter #medtwitter #medstudentwitter #meded #FOAMEd pc:@dermnetnz @BrwnSkinMatters
OK team, #tweetorial #3 in our #Derm101 series on the #dermatology exam. Today, let's discuss:
CONFIGURATION!
How primary lesions are grouped or shaped. Read on to learn more!
#dermtwitter #medtwitter #medstudentwitter #meded #FOAMEd pc:@dermnetnz @BrwnSkinMatters
2/
Since this is the 3rd installment in the #Derm101 series, remember that if you haven't already, you might want to check out the first two #tweetorials on skin morphology.
Primary Lesion:
Secondary Lesion:
Since this is the 3rd installment in the #Derm101 series, remember that if you haven't already, you might want to check out the first two #tweetorials on skin morphology.
Primary Lesion:
Secondary Lesion:
3/
I think of configuration as how the primary lesion might be shaped or grouped. So this would include rashes that are:
Annular
Polycyclic
Serpiginous
Linear
Geometric
Agminate
Herpetiform
Sporotrichoid
Target/Targetoid (kind of)
What configuration was the rash in tweet #1?
I think of configuration as how the primary lesion might be shaped or grouped. So this would include rashes that are:
Annular
Polycyclic
Serpiginous
Linear
Geometric
Agminate
Herpetiform
Sporotrichoid
Target/Targetoid (kind of)
What configuration was the rash in tweet #1?
1/
As promised, here's the second installment of my #Derm101 series on the #dermatology physical exam and #morphology. A #tweetorial on:
THE SECONDARY LESION!
#MedEd #FOAMEd #dermtwitter #medtwitter #medstudenttwitter pc:@dermnetnz
As promised, here's the second installment of my #Derm101 series on the #dermatology physical exam and #morphology. A #tweetorial on:
THE SECONDARY LESION!
#MedEd #FOAMEd #dermtwitter #medtwitter #medstudenttwitter pc:@dermnetnz
2/
First off, if you haven't gone through the primary lesion #tweetorial yet, it's a good idea to start there. Here's the link:
As review, these are the different primary lesions👇
First off, if you haven't gone through the primary lesion #tweetorial yet, it's a good idea to start there. Here's the link:
As review, these are the different primary lesions👇
3/
Secondary lesions are the changes that affect the primary lesion.
Say what? If a papule is scaly, the SCALE is the secondary lesion. If a plaque is crusty, the CRUST is the secondary lesion.
A question: What was the secondary lesion seen in the pic from the 1st tweet?
Secondary lesions are the changes that affect the primary lesion.
Say what? If a papule is scaly, the SCALE is the secondary lesion. If a plaque is crusty, the CRUST is the secondary lesion.
A question: What was the secondary lesion seen in the pic from the 1st tweet?
1/
Let's get back to the basics. A #dermtwitter #tweetorial on:
THE PRIMARY LESION!
My plan is to make a #Derm101 series on #morphology and the #skin exam, so this will be the first in that series of #medthreads.
#MedEd #FOAMEd #medtwitter #medstudenttwitter pc:@dermnetnz
Let's get back to the basics. A #dermtwitter #tweetorial on:
THE PRIMARY LESION!
My plan is to make a #Derm101 series on #morphology and the #skin exam, so this will be the first in that series of #medthreads.
#MedEd #FOAMEd #medtwitter #medstudenttwitter pc:@dermnetnz
2/
Why are #dermatologists so obsessed with description?
Well, for us, morphology is everything. We start with the exam and take the history afterward based on the possible differential we've come up with!
So let's start simple. What was that lesion in the prior tweet?
Why are #dermatologists so obsessed with description?
Well, for us, morphology is everything. We start with the exam and take the history afterward based on the possible differential we've come up with!
So let's start simple. What was that lesion in the prior tweet?
3/
That was a PATCH of vitiligo.
PATCHES are flat lesions >1 cm wide, whereas MACULES are flat lesions <1 cm wide! Check out photo #1 of perioral vitiligo where macules are coalescing into patches!
In #2, you can see both macules and patches in these Cafe au lait lesions.
That was a PATCH of vitiligo.
PATCHES are flat lesions >1 cm wide, whereas MACULES are flat lesions <1 cm wide! Check out photo #1 of perioral vitiligo where macules are coalescing into patches!
In #2, you can see both macules and patches in these Cafe au lait lesions.
