Internal Medicine — Old Core Academic Day Lectures (Until Sep 2023)

Dermatological emergencies

Teaching

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management
1.4.11. Dermatologic
1.4.11.1. Symptoms
1.4.11.1.1. Pruritus
1.4.11.2. Findings and investigations
1.4.11.2.1. Abnormalities of nails
1.4.11.2.2. Clubbing
1.4.11.2.3. Maculopapular eruptions
1.4.11.2.4. Petechiae, purpura, ecchymosis
1.4.11.2.5. Pigmented lesions
1.4.11.2.6. Urticaria
1.4.11.2.7. Vesicular eruptions
1.4.11.2.8. Skin and nail manifestations due to systemic disease
1.4.11.2.8.1. Celiac disease
1.4.11.2.8.2. Connective tissue disease
1.4.11.2.8.3. Endocrine and metabolic disease
1.4.11.2.8.4. Inflammatory bowel disease
1.4.11.2.8.5. Malignancy
1.4.11.2.8.6. Nutritional deficiencies
1.4.11.2.8.7. Systemic immunosuppression
1.4.11.3. Conditions
1.4.11.3.1. Bullous skin disease
1.4.11.3.2. Eczema
1.4.11.3.3. Erythema nodosum
1.4.11.3.4. Psoriasis
1.4.11.3.5. Stasis dermatitis
1.4.11.3.6. Stevens-Johnson syndrome
1.4.11.3.7. Toxic epidermal necrolysis
1.4.11.3.8. Skin cancer and pre-malignant conditions
1.4.13. Medical aspects of specific situations
1.4.13.1. Common medical emergencies
1.4.13.1.1. Life-threatening cardiac, respiratory, gastrointestinal, metabolic, neurologic and other organ system dysfunction and abnormalities
1.4.13.1.2. Hyperthermia / hypothermia
1.4.13.1.3. Shock, including knowledge and identification of the different etiologies
1.4.13.1.4. Cardio-respiratory arrest
1.4.13.1.5. Poisoning
1.4.13.1.6. Severe drug reactions including but not limited to anaphylaxis and toxic epidermal necrolysis
1.4.13.1.7. Complications of chemotherapy
1.4.13.1.7.1. Febrile neutropenia
1.4.13.1.7.2. Tumour lysis syndrome
1.4.13.2. Peri-operative assessment and management
1.4.13.2.1. Hypertension as well as heart, lung, metabolic, and kidney diseases
1.4.13.2.2. Anticoagulants and anti-platelet agents
1.4.13.2.3. Prophylaxis for infection
1.4.13.2.4. Prophylaxis for venous thromboembolism
1.4.13.3. Occupational considerations
1.4.13.3.1. Assessment of fitness to work
1.4.13.4. Medical aspects of mental illness and addiction
1.4.13.4.1. Depression presenting as physical illness
1.4.13.4.2. Effects of depression on the course of medical disease
1.4.13.4.3. Effects and side effects of psychiatric medications
1.4.13.4.4. Substance use, abuse and withdrawal
1.4.13.5. Pregnancy
1.4.13.5.1. Pregnancy induced change in blood volume, hemodynamics, and cardio-respiratory and renal physiology
1.4.13.5.2. Findings and investigations
1.4.13.5.2.1. Abnormal liver tests
1.4.13.5.2.2. Proteinuria
1.4.13.5.3. Pre-existing medical conditions
1.4.13.5.3.1. Hypertension
1.4.13.5.3.2. Valvular heart disease
1.4.13.5.3.3. Asthma
1.4.13.5.3.4. Disorders of glucose homeostasis including diabetes mellitus
1.4.13.5.3.5. Seizure disorders
1.4.13.5.3.6. Venous thromboembolic disease
1.4.13.5.3.7. Infectious diseases including HIV and hepatitis
1.4.13.5.4. Disorders with onset during pregnancy
1.4.13.5.4.1. Hypertensive disorders
1.4.13.5.4.2. Cardiomyopathy
1.4.13.5.4.3. Liver diseases
1.4.13.5.4.4. Seizures
1.4.13.5.4.5. Thrombocytopenia
1.4.13.5.5. Therapies
1.4.13.5.5.1. Endocarditis prophylaxis
1.4.13.5.5.2. Drug prescribing in pregnancy and post-partum period
1.4.13.6. The elderly
1.4.13.6.1. Symptoms
1.4.13.6.1.1. Constipation
1.4.13.6.1.2. Depression
1.4.13.6.1.3. Delirium
1.4.13.6.1.4. Falls and immobility
1.4.13.6.1.5. Frailty and failure to thrive
1.4.13.6.1.6. Gait instability
1.4.13.6.1.7. Urinary and fecal incontinence
1.4.13.6.2. Disorders
1.4.13.6.2.1. Dementia including Alzheimer’s disease, Lewy-body, vascular, and frontal lobe dementias
1.4.13.6.2.2. Nutritional deficiencies
1.4.13.6.2.3. Neglect/abuse
1.4.13.6.3. Therapies
1.4.13.6.3.1. Rational drug prescribing
1.4.13.7. End of life
1.4.13.7.1. Symptoms
1.4.13.7.1.1. Constipation
1.4.13.7.1.2. Delirium
1.4.13.7.1.3. Dyspnea
1.4.13.7.1.4. Nausea and vomiting
1.4.13.7.1.5. Pain
1.4.13.7.2. Disorders
1.4.13.7.2.1. Nutritional deficiencies
1.4.13.7.3. Therapies
1.4.13.7.3.1. Use of opioids and other medications
1.4.13.7.3.2. Principles of palliative care and medical aid in dying (MAID)