Ep042 - Bricklayer's Hand_ Occupational Dermatitis Case Study

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical scenario for medical trainees, focusing on a 30-year-old bricklayer suffering from a severe skin condition on his hands. The core task is to diagnose and manage occupational contact dermatitis, specifically caused by concrete exposure. The task requires the trainee to elicit a detailed occupational history, explain the condition to the patient, and outline a management plan that includes avoiding triggers like wet cement, using protective measures, and applying topical treatments. The episode also highlights common causes of allergic contact dermatitis, emphasising that individuals can develop sensitivity to substances like chromates in cement over time.

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