SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Pemphigus vulgaris

A 45-year-old male has been referred to ED with a painful skin rash which initially started as oral mucosal lesions 3 weeks ago. He has a background of hypertension treated with perindopril for 3 months, but otherwise no other medical history. He reports pain associated with the rash but otherwise looks well and observations are normal.

1. List (3) salient findings on the above image (3 marks) 3 marks

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2. What is the MOST LIKELY diagnosis? (1 mark) 1 mark

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3. In the table below, name (2) other differentials for the above rash and a clinical feature (either in the history or examination) which aid in diagnosis (4 marks) 4 marks

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4. How is the diagnosis confirmed? (1 mark) 1 mark

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5. Outline (3) potential complications of this condition (3 marks) 3 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.