The preliminary diagnosis and its substantiation

Taking into consideration the data of morphological and clinical states of diagnostics you substantiate the previous diagnosis.

Data of laboratory and special dermatological methods of examination

You carry out a complex of routine clinical analysis (tests) and determinations as to the previous diagnosis, a complex of necessary clinical, mycological, microbiological, functional, biochemical, immunologic, histological methods of researches. If needed (necessary) you consult with the specialists. The laboratory methods for the examination of a dermatological patient include the commonly applied procedures (blood test, urinalysis, examination of the gastric juice, tests for the ova of helminths in the faeces, chest X-ray, etc.) and special procedures (serological, microscopical, histological, and histochemical examination of skin removed from the focus of affection).

The differential diagnosis

It is conducted with diseases that have similar dermatological symptoms, taking into account all essential indications on every stage of diagnosis.

The final diagnosis (basic, concomitant, complication of the main disease)

The finak diagnosis is brought to light on the base of data from morphological, clinical stages of diagnostics and taking into account laboratory, special dermatological methods and methods of examination of etiopathogenesis stage. While making up the final diagnosis the following data are indicated:

a. Nosological form;

b. Spreading and localization;

c. Clinical form;

d. Acuity of the course;

e. Stage of development.

Further you indicate: complication and concomitant pathology.

The plan of treatment (general and external)

Prescriptions have to be written in Latin.

The plan of treatment is drawn up and corrected on the basis of the numerous data obtained by the physician after taking the medical history and studying the results of clinical and laboratory examination of the given patient. The physician's clinical thinking, experience, skill and intuition acquired from practice are very important here. Regular study of special periodical literature and knowledge of advances made by specialists in other fields of medicine, especially internists and neurologists, acquire high significance.

The success of topical (external) therapy is determined by the physician's proper consideration for many factors: the character of the dermatosis (acute, subacute, chronic), the stage of the process (progressive, stationary, regressive), depth and localization of the disease, the pharmacological properties of the drug prescribed, the indications and contraindications for its application, the concentration of the drug, the set of measures applied, the drug form of the topical agent, and other factors. Topical therapy must be strictly individualized and the patient must be kept under constant surveillance because the drugs often have to be replaced (in intolerance or habituation to them) or the prescribed dose to be changed (increased or reduced).

Routine examination

You have to write general condition and prescription of your patient for 2 days of curacy.

The patient’s disease prognosis concerning life, recovery, ability to work, the course of disease

Prophylaxis of the disease (take from literature)

The epicrisis

The main data from all previous sections of the patient’s history are summarized.

Literature.

The basic:

1. Guideline for self-study of students by preparation for practical lesson 15, 16, 17.

2. Yu. K.Skripkin and M.V. Milich. Skin and Venereal Diseases, English translation, Mir Publishers, 1981, p. 76-84.

The additional:

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