Diagnosis steps Frequently asked questions: 2) Regarding the sufferer and his family
(1) notification of principal complaints:
a) What diseases have been suffered? a) Where are complaints starting? b) Have you been treated before coming b) Location of complaints? to the doctor? What medicines are used? c) Is it spread? c) Are there foods that make the disease d) Does it appear missing? worse? e) How long? d) Are there families who have suffered
f) Is it dry or wet? from diseases like this?
e) What diseases did the sufferer's family g) Is itching or sick? suffer from? h) is there pain or not? 3. Form / arrangement: PATIENT EXAMINATION. a. Form: typical (forms that can be considered, such as: Inspection round, oval, like a kidney, etc.), and not typical (cannot be 1. Location: where there are lesions considered) 2. Distribution: b. Structure: a. Bilateral: concerning both bodies a. Linear: like a straight line b. Unilateral: affects one side of the body b. Sirsinar / annular: like a circle c. Symmetriabout the same two bodies c. Polycyclic: the connecting edge shape forms a circle. d. Solitary: only one lesione d. Korimbiformis: arrangement like a mother hen e.Herptiformis: group vesicles surrounded by her children f.Confluence: two or more lesions that become 4. Limits: firm and indecisive one 5. Size: g. Discrete: separate from one another a. Milier: the size of a pinhead h. Regional: concerning certain areas of the body b. b. Lenticular: as big as corn seeds i. Generalized: spread to most of the body c. c. Numular: as big as a coin with Ø 3 cm - 5 cm d. j. Universal: whole or almost the whole body Plaque: bigger than nummular (90% -100%) Palpation Color changes occur on the surface of the pressed lesion
SUPPORTING EXAMINATION
To confirm the diagnosis, sometimes investigations
are needed Frequently needed checks: (1) Regular examination of urine, peripheral blood, and blood chemistry (2) Mycological examination (3) Attempt to paste {patch test} for allergies (4) Bacteriological examination (5) Serologic tests (for syphilis, yaws, etc.) (6) Inspection with Wood's beam (7) Biopsy for histopathologic examination (8) Wood lamp (9) KOH examination
Harahap, Marwali.2013. Ilmu Penyakit Kulit. Jakarta: Hipokrates