1. Irritant Contact Dermatitis
Versus ACD: Direct physical or chemical injury to the epidermis
Tends to burn instead of itch
Treatment:
Remove offending agent
Topical corticosteroids

4. Bullae
Bullae (blisters) on legs frequently related to edema particularly if legs are swollen (think CHF patient)
Bullae can develop in incapacitated individuals who are severely ill and immobile

6. Bullous Pemphigoid Autoimmune blistering condition
Treatment: immunosuppression
Topical corticosteroids
Doxycycline and niacinamide
Prednisone
Not alone an indication for admission
Look for mucosal involvement

7. Pemphigus vulgaris

10. Can occur in sun protected areas!!!

11. Skin Cancer Any new, changing, growing, symptomatic lesion
Most commonly seen cutaneous malignancies:
Melanoma is deadly
Squamous cell is deadly
Basal cell is locally destructive
Please do not underestimate the potential morbidity and mortality of a skin cancer for your patient; prompt identification and treatment can be life-saving!

12. Tissue sparing + high cure rate + low complication rate + low cost