---

Goal: To develop the knowledge and skills necessary, as a physician, for accurate description, effective and efficient diagnosis of dermatologic problems.

---

	OBJECTIVES	REFERENCES
1	Identify the following anatomical structures and discuss their role in health: a. Epidermis b. Epidermal-dermal junction c. Epidermal appendages d. Dermis e. Subcutis	Reference 2 - Chapters 1,6,8
2	Describe the basic reactions to the skin.	Reference 2 - Chapter 2 Reference 1 - Chapters 5,6
3	Correctly define each of the following items: a. Macule b. Papule c. Vesicle d. Bullae e. Plaque f. Nodule g. Tumor h. Scale i. Crust j. Erosion k. Fissure l. Ulcer	Reference 2 - Chapter Reference 1, Chapter 4 A-V "Primary Lesion"
4	Discuss the pathophysiology of acne including its natural history and differential diagnosis.	Reference 2 - Chapter 13 Reference 1 - Chapter 63 Reference 4 - "Acne" A-V "Acne"
5	Describe a treatment plan which includes the appropriate dermatologic consultation for each of the following: a. Comedonal acne b. Pustular acne c. Pustulocystic acne d. Acne rosacea	Reference 2 - Chapter 13 Reference 4 - "Acne" A-V "Acne"
6	Discuss the natural history, signs, symptoms and the differential diagnosis of seborrheic dermatitis in all age groups.	Reference 2 - Chapter 10
7	Discuss the natural history, develop a differential diagnosis and propose a treatment plan for pruritus.	Reference 2 - Chapter 4/ Reference 1 - Chapter 31
8	Discuss the natural history, signs, symptoms, differential diagnosis and treatment for each of the following eczematous dermatoses: a. Contact dermatitis b. Atopic eczema c. Nummular eczema d. Dyshidrotic eczema e. Hand dermatitis f. Stasis dermatitis g. General exfoliative dermatitis	A-V "Allergic Contact Dermatitis" A-V "Atopic Dermatitis" Reference 2 - Chapters 5, 6, 10, 34 Reference 1 - Chapters 4, 41, 119, 120, 121, 124
9	Discuss the natural history, differential diagnosis, signs, symptoms and treatment of the following reactive dermatoses: a. Urticaria b. Erythema multiforme c. Erythema nodosum d. Henoch-Schoenlein purpura	Reference 2 - Chapters 7, 34 Reference 1 - Chapters 50, 108, 114, 116 See also lecture "Vascular Dermatosis"
10	Discuss the dermatological manifestations of the following collagen vascular diseases: a. Systemic lupus erythematosus b. Discoid lupus erythematosus c. Scleroderma d. Raynaud's phenomenon	Reference 2 - Chapter 8 Reference 5
11	Discuss the chronic vesiculobullous disorders to include: a. Pemphigus vulgaris b. Dermatitis herpetiformis c. Erythema multiforme d. Epidermolysis bullosa e. Bullous pemphigoid	Reference 2 - Chapter 21 Reference 1 - Chapters 49, 60
12	Discuss the natural history, signs, symptoms, differential diagnosis and treatment for each of the following: a. Psoriasis b. Parapsoriasis c. Lichen planus d. Pityriasis rosea	Reference 2 - Chapters 10, 12 Reference 1 - Chapters 39, 83, 84, 86 Reference 6 A-V "Psoriasis" See also lecture on "Papulosquamous"
13	Discuss the natural history, differential diagnosis, signs, symptoms and treatment for each of the following pyodermas: a. Impetigo contagiosum b. Ecthyma c. Pyogenic granuloma d. Pyoderma gangrenosum e. Erythrasma f. Folliculitis g. Furuncles and carbuncles h. Hidradenitis suppurativa i. Erysipelas and ecthyma	Reference 2 - Chapter 14 A-V "Pyodermas"
14	Discuss the natural history, signs, symptoms, differential diagnosis and treatment for each of the following fungal infections: a. Tinea capitis b. Tinea corporis c. Tinea pedis and manum d. Onychomycosis e. Tinea cruris f. Tinea barbae g. Moniliasis h. Tinea versicolor	Reference 2 - Chapter 15 A-V "Fungal Infections"
15	Discuss the natural history, signs, symptoms differential diagnosis and treatment for each of the following viral infections: a. Herpes simplex b. Herpes zoster c. Vaccinia d. Varicella e. Rubeola f. Rubella g. Infectious mononucleosis h. Scarlet fever i. Erythema infectiosum j. Roseola infantum	Reference 2 - Chapter 19 A-V "Herpes Simplex"
16	Discuss the natural history, signs, symptoms, differential diagnosis and treatment of the following venereal diseases: a. Syphilis b. Gonorrhea c. Herpes progenitalis	Reference 2 - chapters 14, 18, 19 See also lecture on "Early Infectious Syphilis"
17	Discuss the natural history, signs, symptoms, differential diagnosis and treatment of each of the following parasitic diseases: a. Scabies b. Pediculosis c. Swimmers itch d. Spider bites e. Mosquito bites f. Tick bites g. Wasp and bee stings	Reference 2 - Chapter 20
18	Discuss the natural history, signs, symptoms, differential diagnosis and treatment of each of the following nevoid anomalies: a. Junctional pigmented nevus b. Intradermal pigmented nevus c. Compound intradermal nevus d. Spindle and epithelioid nevus e. Blue nevus f. Mongolian spot g. Lentigo	Reference 2 - Chapter 29 Reference 1 - Chapters 80, 81 A-V "Tumors of the Skin"
19	Develop a differential diagnosis for a patient presenting with alopecia.	Reference 2 - Chapter 32 A-V "Hair Problems" - Parts 1 and 2
20	Discuss the natural history and etiology, as well as develop a management and prevention plan for the problem of ingrown nails.	Reference 2 - Chapter 32
21	Describe and discuss the following dermatologic problems of the newborn: a. Erythema toxicum neonatorum b. Seborrhea c. Scaling d. Strawberry angioma e. Milia f. Diaper dermatitis	Reference 3
22	Discuss the natural history, signs, symptoms differential diagnosis and management of warts and callouses.	Reference 2 - Chapters 3, 19, 129, 212
23	Discuss the natural history, signs, symptoms and management of the following nodules: a. Molluscum contagiosum b. Keloid c. Neurofibroma d. Lipoma e. Seborrheic keratosis f. Pilar cyst g. Epidermal inclusion cyst h. Dermoid cyst	Reference 2
24	Discuss the natural history, signs, and symptoms of each of the following premalignant and malignant tumors: a. Actinic keratosis b. Cutaneous horns c. Basal cell carcinoma d. Squamous cell carcinoma e. Keratoacanthoma f. Bowen's disease g. Paget's disease h. Malignant melanoma i. Lentigo maligna melanoma j. Mycosis fungoides k. Leukemia cutis l. Lymphoma cutis	Reference 2 - Chapter 31 Reference 1 - Chapters 73-77 and 105 Reference 7 A-V "Tumors of the Skin" Parts 1 and 2
25	Discuss the natural history, signs, and symptoms of malignant melanoma.	Reference 1 - Chapter 87

REFERENCES

1. Fitzpatrick, et al: Dermatology in General Medicine, 4th Edition, McGraw-Hill, 1993.
2. Domonkos, et al: Andrew's Disease of the Skin, 7th Edition, Saunders, 1982.
3. Solomon and Esterley. Neonatal Dermatology.
4. Plewig and Kligman: Acne: Morphogenesis and Treatment, Springer & Verlag, 1975.
5. Braverman: Skin Signs of Systemic Diseases, Saunders, 1982.
6. Journal of the American Academy of Dermatology, 4:1-14, 1981.
7. Journal of the American Academy of Dermatology, 2:89, 1980.

NOTE:
A-V "Audio-Visual" refers to slide/tape sets available in:
Dermatology Office - MetroHealth Medical Center - Hamann 520, and
Department of Dermatology Library, University Hospitals< /P>