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The dermatological consultation

The dermatological consultation includes the focused dermatological history, clinical examination, description of findings, further investigations, and skin surgery techniques. In this chapter, the importance of the history of a rash or skin lesion, symptoms, and signs are explained. Consideration of relevant general health and development, treatments, allergies, drug, family, and social history are also discussed. The assessment of quality of life and how to measure this within a consultation are included. Quality of life questionnaires relevant to paediatric dermatology are listed. Techniques for examination of the skin in children and the role of dermoscopy are suggested. Skin changes in children who are abnormally short, abnormally tall, obese, or with excessive weight loss (abnormal body habitus) are considered. Skin biopsy techniques, local anaesthesia, and laser therapy for paediatric dermatology surgery are described, including tips to reduce pain. A brief explanation of some common histopathological terms is given. Other skin investigations including Wood’s light examination, skin scrapings for mycology, patch testing, and prick testing for investigation of skin allergy are included.