QUACK is back! Our team has grown and we are delighted to now deliver medical education regionally across the West of Scotland.
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This week's topic is dermatological emergencies and rashes
For an e-certificate for QUACK of the week, please fill in the feedback here
Presentation & Guideline
Scoring Systems
Dermatological Emergencies
Dr A Tidman
Dermatology registrar
Skin Lesions
Dr Chris Lim CDF
Dr Amrita Randhawa SpR
NICE Guidelines
Psoriasis
Assessment and Management
(2012)
British Association of Dermatology
Summary of UK Guidelines
Stevens-Johnson Syndrome/
Toxic Epidermal Necrolysis (2016)
SCORTEN Scale
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The SCORe of Toxic Epidermal Necrosis (SCORTEN scale) is a severity-of-illness type of scale originally developed to aid prognosis of toxic epidermal necrolysis (TEN), but can also be used for the following cutaneous conditions;
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Stevens-Johnson Syndrome patients,
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burn victims, patients with
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cutaneous drug reactions or exfoliative wounds.
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Each parmeter below gives a score of 1 point (7 = maximum)
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Age ≥40 years
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Heart rate ≥120 beats per min
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Cancer/hematologic malignancy
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BSA detached ≥10% (at day 1)
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Serum BUN >10 mmol/L
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Serum bicarbonate <20 mmol/L
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Serum glucose >14 mmol/L
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No of risk factors/Mortality Rate
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0 -1 3.2%
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2 12.1%
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3 35.3%
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4 58.3%
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5 or more >90%
For an example of what your e-certicate will look like, see below
