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DE LA SALLE HEALTH SCIENCES INSTITUTE

DEPARTMENT OF INTERNAL MEDICINE


INSTRUCTIONAL DESIGN
YEAR LEVEL 3 MEDICINE II
Title/ Topic: CUTANEOUS INFECTIONS & INFESTATIONS
Date/ Time:
Lecturer: MARIECON ESCUADRO-CHIN, MD, DPDS

I. Bacterial Skin Infections


General Objective: To be able to identify and manage bacterial skin infections commonly found in the Philippine setting.
ELGAS

Objectives

Content

Strategies

Competent and Safe


Physician/
Clinical Competence

To identify the etiology of the


common bacterial skin
infections.

Impetigo Contagiosa
Bullous Impetigo
Folliculitis
Furunculosis
Carbuncle
Ecthyma
Cellulitis
Erysipelas
Erythrasma

Handouts

Competent and Safe


Physician
Clinical Competence
Communication Skills

To recognize the clinical


manifestations of these bacterial
skin infections, highlighting the
classical cutaneous presentation
of each disease.

Impetigo Contagiosa
Bullous Impetigo
Folliculitis
Furunculosis
Carbuncle
Ecthyma
Cellulitis
Erysipelas
Erythrasma

Lecture
Computer
LCD projector
Handouts
Textbooks
Interactive Clinical Scenario

Competent and Safe


Physician
Reflective lifelong
learner
Clinical Competence

To describe the cutaneous and


extracutaneous complications
that may arise from failure of
prompt recognition and
management.

Acute Glomerulonephritis
Bacteremia, Pneumonia &
Meningitis
Gangrene & Metastatic Abscess

Lecture
Computer
LCD projector
Handouts
Textbooks

Evaluatio
n
MCQ 5
Post Exams

Interprofessionalism
Appreciation of
Systems Approach to
Health care
Competent and Safe
Physician
Efficient manager
Appreciation of
Systems Approach to
Health care
Management of
Research

To correctly diagnose and design


the plan of management and
prevention of each bacterial
infection.

Topical
Systemic
Supportive

Lecture
Computer
LCD projector
Handouts
Textbooks

To report therapeutic updates in


the management of common
cutaneous bacterial infections

Lecture
Computer
LCD projector
Handouts
Textbooks/Journal Updates

II. Superficial Fungal Infections


ELGAS

Objectives

Competent and Safe


Physician
Clinical Competence

To identify the common


superficial fungal organism
causing the cutaneous lesions

Competent and Safe


Physician
Clinical Competence

To recognize the cutaneous


manifestations of the different
superficial mycoses highlighting

Content
Dermatophytes
Tinea Capitis
Tinea Barbae
Tinea Faciei
Tinea Corporis
Tinea Manus
Tinea Pedis
Onychomycosis
Pityriasis Versicolor
Candidiasis
Oral
Perleche
Candidal Intertrigo
Pseudo diaper rash
Congenital Cutaneous
Candidiasis
Chronic Cutaneous
mucocutaneous Candidiasis
Dermatophytes
Tinea Capitis
Tinea Barbae

Strategies
Handouts
Textbooks

Lecture
Computer
LCD projector

Evaluatio
n
MCQ 5

Communication Skills

the classical cutaneous


manifestations of each

Competent and Safe


Physician
Reflective lifelong
learner
Appreciation of
Systems Approach to
Health care

To enumerate common
differential diagnosis for each
superficial mycosis

Competent and Safe


Physician
Reflective lifelong
learner
Efficient manager
Management of
Reserch Findings

To correctly diagnose and design


the plan of management and
prevention of each fungal
infection
To describe the mechanism of
action of the common antifungal
agents
To report therapeutic updates in
the management of common
cutaneous fungal infections

Tinea Faciei
Tinea Corporis
Tinea Manus
Tinea Pedis
Onychomycosis
Pityriasis Versicolor
Candidiasis
Oral
Perleche
Candidal Intertrigo
Pseudo diaper rash
Congenital Cutaneous
Candidiasis
Chronic Cutaneous
mucocutaneous Candidiasis

Handouts
Textbooks
Interactive Clinical Scenario

Griseofulvin
Azoles
Imidazoles: Ketoconazole,
Miconazole, Econazole,
Clotimazole
Triazoles: Itraconazole,
Fluconazole
Allylamines
Terbinafine,
Butenafine,
Naftifine
Polyenes: Nystatin

Lecture
Computer
LCD projector
Handouts
Textbooks

Lecture
Computer
LCD projector
Handouts
Textbooks

III. Viral Infections with Cutaneous Manifestations


ELGAS

Objectives

Content

Strategies

Competent and Safe


Physician

To identify the etiology and


pathogenesis of common viral
infections with cutaneous
manifestations

Handouts
Textbooks

Competent and Safe


Physician
Communication Skills

To recognize the clinical


presentations of these viral
infections highlighting the
classical cutaneous
manifestations of each

Competent and Safe


Physician
Reflective lifelong
learner
Interprofessionalism
Appreciation of
Systems Approach to
Health care

To recognize the different


complications of each disease.

Lecture

Competent and Safe


Physician
Reflective lifelong
learner
Efficient manager

To correctly diagnose and design


the plan of management and
prevention of each viral infection

Lecture
Computer
LCD projector
Handouts
Textbooks

Purely Cutaneous
Molluscum Contagiosum
Verruca (Wart)
With Systemic Involvement
Varicella
Herpes Zoster/Shingles
Herpes Simplex
Measles/Rubeola
Rubella/German Measles

Lecture
Computer
LCD projector
Handouts
Textbooks
Interactive Clinical Scenario

Evaluatio
n
MCQ 5

IV. Hansens Disease


ELGAS
Competent and Safe
Physician
Reflective lifelong
learner
Efficient manager
Interprofessionalism
Appreciation of
Systems Approach to
Health care

Objectives
Given a patient who presents
with multiple erythematous
hyposthetic macules and
patches, the student should be
able to:
a. To classify clinical findings
according to the different forms
of leprosy
b. To describe the different
clinical presentations of leprosy
c. To differentiate Leprosy from
other dermatoses of similar
presentations

Content
Indeterminate Leprosy
Borderline Tuberculoid
Borderline
Borderline Lepromatous
Lepromatous

Strategies
Lecture
Computer
LCD projector
Handouts
Textbooks
Interactive Clinical Scenario

Evaluatio
n
MCQ5

Type I Reactional State


Type II/Erythema Nodosum
Leprosum

d. To discuss the treatment


regimens for leprosy
e. To identify reactional states
involved in leprosy
f. To determine when to refer
complications for adjunctive
treatment

V. Cutaneous Tuberculosis
ELGAS
Competent and Safe
Physician

Objectives
To identify the etiology and
pathogenesis of the Cutaneous
Tuberculosis

Content
1.
2.
3.
4.
5.

Tuberculous Chancre
Tuberculous Verucosa Cutis
Lupus Vulgaris
Scrofuloderma
Orificial TB

Strategies
Handouts
Textbooks

Evaluatio
n
MCQ 5

Competent and Safe


Physician
Communication Skills

To recognize the clinical


presentations of these cutaneous
tuberculosis highlighting the
classical cutaneous
manifestations of each

Lecture
Computer
LCD projector
Handouts
Textbooks
Interactive Clinical Scenario

Competent and Safe


Physician
Reflective lifelong
learner
Interprofessionalism
Appreciation of
Systems Approach to
Health care

To recognize the different


complications of each disease.

Lecture

Competent and Safe


Physician
Reflective lifelong
learner
Efficient manager

To correctly diagnose and design


the plan of management and
prevention of each cutaneous
tuberculosis

Lecture
Computer
LCD projector
Handouts
Textbooks

VI. Cutaneous Infestations


ELGAS

Objectives

Content

Strategies

Evaluation

Competent and Safe


Physician

To recognize the clinical


manifestations of these common
skin infestations highlighting
the classical cutaneous
manifestations of each

Competent and Safe


Physician
Efficient manager

To correctly diagnose and


design the plan of
management and prevention
of each viral infection

Scabies
Pediculosis Capitis
Pediculosis Corporis
Pediculosis Pubis

Scabies
Pediculosis Capitis
Pediculosis Corporis
Pediculosis Pubis

Lecture
Computer
LCD projector
Handouts
Textbooks

MCQ 5

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