GEM - Curriculum statement 15.10 Skin Problems
Knowledge Base for the nMRCGP
Curriculum Statement 15.10 Skin problems including trauma
Symptoms:
Key issues in the diagnosis of skin problems will be eliciting of the appropriate signs and symptoms and subsequent investigation and/or referral of people presenting with:
- Rashes
- Hair loss
- A disorder of their nails
- Itch (also known as pruritus)
- Pigmented skin lesions
- Signs of infections of the skin
- Bruising or purpura
- Lumps in and under the skin
- Photosensitivity and the red face
Common and/or important conditions:
- eczema
- Psoriasis
- Generalised pruritus
- Urticaria and vasculitis
- Acne and rosacea
- Infections (bacterial, viral and fungal)
- Infestations including scabies and head lice
- Leg ulcers and lymphoedema
- Skin tumours (benign and malignant)
- Disorders of hair and nails
- Drug eruptions
- Other less common conditions such as the bullous disorders, lichen planus, vitiligo, photosensitivity, pemphigus, pemphigoid, discoid lupus, granuloma annulare and lichen sclerosus
- blistering section from GPnotebook
- lichen planus section from GPnotebook
- vitiligo section from GPnotebook
- photosensitivy section from GPnotebook
- pemphigus section from GPnotebook
- pemphigoid section from GPnotebook
- discoid lupus section from GPnotebook
- granuloma annulare section from GPnotebook
- lichen sclerosus section from GPnotebook
Investigation:
- Ability to take specimens for mycology from skin, hair and nail
- Basic interpretation of histology reports
- Skin biopsy.
Treatment:
- Those commonly used in primary care (including an awareness of appropriate quantities to be prescribed and how to apply them)
- Principles of protective care (sun care, occupational health and hand care)
- An awareness of specialised treatments, such as retinoids, ciclosporin, phototherapy and methotrexate
- The indications for, and the skills to perform, curettage, cautery and cryosurgery.
Emergency care:
- Acute treatment of people presenting with skin problems or symptoms thought to be due to skin problems and appropriate referral if necessary. Including:
- angioedema and anaphylaxis
- meningococcal sepsis
- disseminated herpes simplex
- erythroderma
- pustular psoriasis
- severe nodulo-cystic acne
- toxic epidermal necrolysis
- Stevens-Johnson syndrome
- necrotising fasciitis
Prevention:
- This will involve the following risk factors:
- Sun exposure
- Fixed factors: family history and genetics
- Occupation and care of the hands.
Genetics:
- Describe how genetic factors influence the inheritance of common diseases such as psoriasis and atopic eczema
Related pages
Create an account to add page annotations
Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page