Dermatology
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Unit 593
May 2022
This edition of check considers the investigation and management of skin and nail conditions in general practice.
Skin conditions are one of the most common presentations in Australian general practice, accounting for 17 out of every 100 patient encounters.
In Australia, acne is seen by general practitioners (GPs) at a frequency of 0.4 of every 100 consultations. Acne affects approximately 93.3% of teenagers aged 16–18 years, but it can also persist into adulthood, with data showing 64% of those aged 20–29 years and 43% of those aged 30–39 years affected.
Vitiligo affects approximately 1–2% of the population. It can begin at any age, but 50% of cases commence prior to the age of 20 years.
Psoriasis is thought to affect at least 2% of Australians; GPs are well placed to diagnose both psoriasis and common comorbidities such as psoriatic arthritis, metabolic syndrome and cardiovascular disease.
Nail problems are common presentations to general practice; onychomycosis has a prevalence of up to 50% in people aged over 70 years, while nail psoriasis presents as an isolated symptom in 5–10% of patients but affects half of patients with psoriasis.
At the end of this activity, participants will be able to:
Below is a list of the case studies found in this month's edition of check. To see how these case studies unfold and gain valuable insights into this months topic, log into gplearning to complete the course.
Chad, a Caucasian man aged 65 years, presents to you on insistence from his wife with concerns about his ‘ugly toenails’. He has noticed some discolouration and distortion affecting the two great toenails for at least the past 12 months, and it seems to be getting worse. Chad has hypertension and takes ramipril 2.5 mg to treat this condition. He has no other known medical conditions and does not take any other medications. He rarely drinks alcohol, and he smokes occasionally at parties.
This unit of check is approved for 8 hours of CPD activity (two hours per case). The 8 hours, when completed, including the online questions, comprise five hours’ 鲍鱼视频al Activities and five hours’ Reviewing Performance.
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Each unit of check comprises approximately five clinical cases, and the choice of cases will cover the broad spectrum of the unit’s topic. Each unit will be led by a GP with an interest and capability in the topic, and they will scope the five different cases for that unit in collaboration with the check team.