Dermatology History (Past: Contact dermatitis, psoriaisis, cold-induced urticaria)
Site Where is it + How many?
Onset:
o How long has it been there?
o Did anything trigger it?
Characteristics
o Initial appearance Size, Colour, Shape, Raised or Flat (size, colour, shape)?
o Evolution? (grown in size, changed in colour)
Remedies
o Any previous or current treatments?
o Any success?
Associated symptoms:
o Red, hot, painful, swollen (inflammation)
o Dry, Itch, Bleeding, Discharge (irritation)
o Fever
Triggers:
o Anything which may have brought it on? Any new products, medication, soaps, etc?
o Stress, illness, trauma, alcohol, drugs, travel?
Exacerbating factors (cold, sunlight), Relieving factors
Skin risk factors:
o Sun exposure, Sunburns, Tanning beds? (attain SKIN TYPE)
o A lot of moles on back?
o Hx atopy (e.g asthma, Hay fever (rhinitis), eczema, hives/urticaria, allergies)
o Any joint pains (?PA ?SLE), change in bowel habit
ICE (very important here)
PMH
PSurgHx
FH of melanoma or other skin cancer?
DH
SH
Itchy eruption TULIPES (tinea corporis, urticaria, lichen planus, impetigo, psoriasis, eczema, scabies)
Changing pigmented lesion Melanoma [ABCDEFGHI], Seborrheic keratoses, Atypical mole, Benign nevus,
Congenital nevus, Dermal nevus, Epidermal nevus
Red leg Cellulitis/erysipelas, venous eczema, DVT
Risk for Melanona = MMRISK (moles atypical, moles a lot, red hair, inability to tan, sunburns, kin w/ melanoma)
, History of Itch Itchy + Rash = Skin disease OR Drug rash... Itchy with NO rash (or just excoriations) = systemic
disease, not dermatology (e.g. liver disease with jaundice, uremia from renal, iron deficient anaema, hypothyroid)
1. If patient is ITCHY, ask WHERE they are itchy and ask for rashes (then go down skin route, or down GI
route [or renal.. or otherwise])
a. If they are itchy, need to ALWAYS ask if any new meds started recently
2. Must ask lip swelling, SOB, throat tightness, wheeze.... if present in Hx, will need epipens prescribed
Site Where is it + How many?
Onset:
o How long has it been there?
o Did anything trigger it?
Characteristics
o Initial appearance Size, Colour, Shape, Raised or Flat (size, colour, shape)?
o Evolution? (grown in size, changed in colour)
Remedies
o Any previous or current treatments?
o Any success?
Associated symptoms:
o Red, hot, painful, swollen (inflammation)
o Dry, Itch, Bleeding, Discharge (irritation)
o Fever
Triggers:
o Anything which may have brought it on? Any new products, medication, soaps, etc?
o Stress, illness, trauma, alcohol, drugs, travel?
Exacerbating factors (cold, sunlight), Relieving factors
Skin risk factors:
o Sun exposure, Sunburns, Tanning beds? (attain SKIN TYPE)
o A lot of moles on back?
o Hx atopy (e.g asthma, Hay fever (rhinitis), eczema, hives/urticaria, allergies)
o Any joint pains (?PA ?SLE), change in bowel habit
ICE (very important here)
PMH
PSurgHx
FH of melanoma or other skin cancer?
DH
SH
Itchy eruption TULIPES (tinea corporis, urticaria, lichen planus, impetigo, psoriasis, eczema, scabies)
Changing pigmented lesion Melanoma [ABCDEFGHI], Seborrheic keratoses, Atypical mole, Benign nevus,
Congenital nevus, Dermal nevus, Epidermal nevus
Red leg Cellulitis/erysipelas, venous eczema, DVT
Risk for Melanona = MMRISK (moles atypical, moles a lot, red hair, inability to tan, sunburns, kin w/ melanoma)
, History of Itch Itchy + Rash = Skin disease OR Drug rash... Itchy with NO rash (or just excoriations) = systemic
disease, not dermatology (e.g. liver disease with jaundice, uremia from renal, iron deficient anaema, hypothyroid)
1. If patient is ITCHY, ask WHERE they are itchy and ask for rashes (then go down skin route, or down GI
route [or renal.. or otherwise])
a. If they are itchy, need to ALWAYS ask if any new meds started recently
2. Must ask lip swelling, SOB, throat tightness, wheeze.... if present in Hx, will need epipens prescribed
