Showing 21-40 of 84 for: Essential Evidence Topics > Dermatologic 
- Diaper dermatitis
Essential Evidence Topics, 5-Jan-2021
Overall Bottom Line: Recommend diligent diaper changing practices, avoidance of diapers for as long as possible, prompt caregiver attention to treating mild dermatitis, cleansing with nonperfumed, nonalcohol-containing, and disposable soft baby wipes or w
- Epidermoid cyst
Essential Evidence Topics, 14-Jan-2022
Overall Bottom Line:
- Erysipelas
Essential Evidence Topics, 16-Dec-2019
Overall Bottom Line: Erysipelas is characterized by acute inflammatory plaques that are raised above the level of the surrounding skin, with a clear line of demarcation between involved and uninvolved tissue. Fever, lymphangitis, adenopathy, and leukocyto
- Erythema multiforme
Essential Evidence Topics, 11-Apr-2023
Overall Bottom Line: Consider a diagnosis of erythema multiforme (EM) among patients presenting with mostly cutaneous (sometimes mucosal) fixed targetoid lesions along the acral skin, especially in the setting of herpes simplex virus (HSV) infection. EM
- Erythroplasia, leukoplakia, and early oral/oropharyngeal cancer
Essential Evidence Topics, 3-Aug-2022
Overall Bottom Line: Abstinence from tobacco and limited alcohol intake (ie, 8 oz wine, 2 cans beer) is recommended. Leukoplakia should be followed carefully. If changes in thickness or development of inflammation after 14 days, recommend biopsy. Lesion
- Excision of lesion (procedure)
Essential Evidence Topics, 1-Oct-2021
Indications for Procedure: Excisional biopsy provides useful diagnostic information and can be definitive treatment for some malignant and precancerous lesions. Full dermal thickness excision was previously recommended as the gold standard for diagnosis o
- Folliculitis
Essential Evidence Topics, 3-Feb-2023
Overall Bottom Line: Suspect folliculitis in patients presenting with erythematous, follicularly-centered papules and pustules of the scalp, face, chest, back, axilla, thigh, buttocks, and groin. If available, perform dermoscopy to differentiate follicul
- Frostbite and cold injury
Essential Evidence Topics, 21-Jul-2021
Overall Bottom Line: To prevent injury, be aware of adverse weather, designate one team member to monitor other team members or use buddy system, dress and act appropriately in cold conditions. Classify frostbite based on superficial appearance and symp
- Fungal skin infections
Essential Evidence Topics, 4-Jan-2023
Overall Bottom Line: Tinea corporis, cruris, and pedis are diagnosed by typical historical and physical findings. The diagnosis may be confirmed by KOH preparation and/or fungal culture. Topical medications should be the first line of treatment. Topical
- Gangrene
Essential Evidence Topics, 14-Jan-2022
Overall Bottom Line: Differentiate dry, wet, and gas gangrene using physical exam signs such as focal edema, discoloration, odor, numbness, and texture. Obtain a WBC count and wound culture for aerobic and anaerobic organisms to determine infectious eti
- Glossitis
Essential Evidence Topics, 16-Sep-2021
Overall Bottom Line: Glossitis may be due to a primary disorder of the papillae of the tongue or may be a feature of underlying conditions ranging from benign to malignant. Candida is the most common condition causing glossitis. Many irritants can be
- Granuloma annulare
Essential Evidence Topics, 26-Feb-2019
Overall Bottom Line:
- Hansen's disease (leprosy)
Essential Evidence Topics, 23-Nov-2021
Overall Bottom Line: Leprosy is a leading cause of permanent physical disabilities due to communicable diseases. Household contacts should receive chemoprophylaxis with a single dose of rifampicin 600 mg. The diagnosis is clinical: definite loss of sen
- Hemangioma and vascular skin tumors
Essential Evidence Topics, 23-Jul-2022
Overall Bottom Line: Infantile hemangiomas (IHs) are common benign vascular tumors of the skin. History and physical examination are sufficient to diagnose 95% of IHs. It is important to differentiate IHs from other vascular anomalies (see ). Most IHs
- Henoch-Schonlein purpura
Essential Evidence Topics, 14-Nov-2019
Overall Bottom Line: Suspect Henoch-Schonlein purpura (HSP) in children with palpable purpura and abdominal pain, joint pain, proteinuria, or hematuria. Routine testing should include vital signs, CBC, urinalysis, and stool for occult blood; consider ab
- Herpangina
Essential Evidence Topics, 9-Jul-2021
Overall Bottom Line: Patients typically present with 1- to 4-mm papulovesicular lesions with an erythematous base in the oropharynx. Symptomatic treatment with oral and topical analgesic medications is recommended. Fever usually resolves within 4 days
- Herpes simplex (oral)
Essential Evidence Topics, 11-Jun-2022
Overall Bottom Line: Consider the diagnosis of oral herpes simplex in patients presenting with recurrent, painful vesiculopustules, erosions, ulcers, and crust of the lips and oral cavity. Oral herpes simplex is a clinical diagnosis but in cases of unce
- Herpes zoster (shingles)
Essential Evidence Topics, 16-Sep-2022
Overall Bottom Line: Typically herpes zoster (HZ) is characterized by unilateral dermatomal pain and rash. Initiating treatment within 72 hours with appropriate antivirals will significantly decrease the incidence of acute pain but does not decrease the
- Hidradenitis suppurativa
Essential Evidence Topics, 8-Jul-2022
Overall Bottom Line: Suspect hidradenitis suppurativa (HS) in patients with tender nodular skin lesions in regions of skin folds especially with a history of recurrent symptoms, family history of HS, smoking, or female. Topical clindamycin improves heal
- Hirsutism
Essential Evidence Topics, 24-Jun-2019
Overall Bottom Line: Hirsutism is excessive male pattern hair growth in females. Most often it is due to polycystic ovarian syndrome (PCOS) but may be idiopathic. Serum androgen assays (beginning with plasma free testosterone) are the mainstay of diagno
