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Hi, Jenny. Can you hear me? Hi, you? Um, I'm just on my phone now. Okay. That's see the presentation. Um, you might have lost the presentation, uh, since you've refresh your page. But I'm happy to, um, do it on my end instead. Yeah, absolutely. You, are you okay to start the polls as well? Yeah. Yeah. No, absolutely. Can you see that? Yes, I can effect. I think this was where we stopped off. Um, just now. So I'll start the pulse for this question. That. Oh, okay. Okay. Shall we see the answer? Yep. Good. So, that is Melanoma. And I think 100% of you got right if I read the poll correctly. Um, yeah. So, really good. Well done. We don't want to miss that. Really nasty. The next question. Um, Jenny, would you mind explaining the previous question? Uh. Oh, yeah. Sure. I, I think I might have missed that one out. Oh, yeah. So, yeah, that's a basal cell carcinoma. So, this is probably one of the more classic looking basal cell carcinoma and that you can see around the bases again, it looks a bit kind of pearly looks. Um, you know, I like to take it sparkles little bit but it doesn't, it looks pearly. Um, so that's a basal cell carcinoma. Quite a classic appearance. And, yeah, and that's Melanoma. Okay. What's this one? Okay. We'll see the answer. Yep. So, this is a separate keratosis, keratosis. I know a couple of you have been clicking separate keratosis for a few, um, for a few of them. But, yeah, this is what it looks like. So it looks quite worse. See, it looks like it's just stuck on there. It doesn't really belong. Um Again, it's quite common, especially if you look up pictures of. So Seborrheic keratosis online, you'll see that in one image, you can see 23 or even four in a single image. So it's common for a patient to have multiple of these um in, in a small area and yet classic appearance just have to remember. Know it. OK. Next slide, please. Okay. What's the diagnosis here? Okay. We'll see the answer. So, correct answer is d got to eat psoriasis and we'll go on to the next slide and explain that. Okay. So psoriasis is um the classic appearance are scaly red plagues and it's typically in the extensor surfaces. Um the classic um type of psoriasis you think of is a stable chronic plague psoriasis. So I've inserted a picture of that on the left hand side. Um However, you can also get another type called guttate psoriasis. Um So these percent as several 100 have small lesion's um that appear typically um on the back. Um that can also be kind of on the top in, in other areas. And classically this occurs a few weeks following a strep sore throat infection. Um It's quite common in kind of teenagers, young adult and can be often a first presentation of uh psoriasis. So just think gut it means raindrops if you see, you know, um raindrop looking lesion's hundreds of them, it's got eight psoriasis. Okay. Next slide, we'll explain the other options that were on that multiple choice. Um So we'll talk about acne. Um So the two kind of severe types of acne. Um So obviously, the classic type of acne that we know that we many of us get teenagers is acne vulgaris. Um But there's kind of two really severe types of acne to be aware of and it's Acne Ophthalmic Inns and Acne Kongolo bait um or Congo Botta. Um So both of them are typically seen in kind of young um teenage or young adult males and they present with kind of severe and very dramatic worsening um of already existing acne or first appearance of Acne. Uh and the difference between these two is whether there are associated systemic fee shirts features. So, Acne full Mickens, I think it's full. So there's systemic features because it's the full package. Um whereas an Acne, Congo bait or Con Bata and there's no systemic um features. So the image on the left hand side is acne form Akins the image on the right hand side is acne. The acne comes back to um I think the main differentiating differentiating factor though would be those systemic features rather than kind of just looking at it. So yeah, this can lead to kind of quite um really bad scarring which obviously can affect kind of people in different ways. So is is good to just seek um divisive terminologists urgently. Okay. Next slide, please. OK. Kind of the last group of disorders in in the cover for um dermatology are blistering disorders. And I picked this because I was quite confused about it when I was in fifth year and I didn't know how I want to remember them. Um So you can get a pen, the gas and pemphigoid. So remember is pemphigus and when S S stands for superficial um pemphigoid and A D means deeper layers are affected. So the most superficial blistering disorder is pemphigus for lee a cious. Um And it's caused by I G antibody antibodies against and de smuggling one again. Like I said, the superficial layers are only affected and because the lesions are very superficial, you typically don't get blisters, they appear scaly lesions, which is what's shown in top picture. There's no blisters because it's so superficial, they've already burst. Okay, then you get pemphigus, vulgaris. Uh This is I G antibodies against the smuggling one and three. Um you do get blisters with this because it affects not just only a superficial layer but slightly deeper as well. Um But what's unique about it is you can also get mucosal symptoms. So say for example, in the mouth and you can get Nicole see sign, which is when kind of when you touch the skin and it just peels away. Um So the the the way I remember this is pemphigus, vulgaris, if someone's vulgar, they might say really like vulgar things. So I think of the mouth. So I think that reminds me that you can get mucosa symptoms with it. Um The deepest blistering disorder um is bullous pemphigoid. This is actually the most common, unfortunately, and you get antibodies against the basement membrane. So, pemphigoid d for deep layer, um patient's present with kind of large tense blisters. It's really itchy, um much more so and then the others and then you can also get a macular popular rash prior to these blisters, the rash can appear a few weeks or even months before these blisters develop. So we have the pictures kind of correspond to to each of those, those three diagnoses. Next slide, please. Oh, I think that's my last slide. Um Yeah, great. Um That was it for me. I hope that was useful. Um Happy to answer any questions just now about the topics or also about revision 50 or six year in general. Um Lucas, I don't know if you have anything to add. Yes, Jenny, thank you very much for the presentation. Um We do apologize for the connectivity issues and we really appreciate your patient's throughout all this. Um So I've shared the feedback form as well as the registration form um for tomorrow's session, which is our last of the series and we'll be covering psychiatry, so be sure to register for that. And once again, we really appreciate if you can fill out the feedback form for us. But yeah, Jenny will be sticking around for a bit to answer any of your questions otherwise, thank you for joining and enjoy the recipe evening. Yeah, thanks guys. Pleased to fill in the feedback form. It's really useful for us. And yeah, again, like Lucas set, sorry for issues with my wifi. It's never really happened before. So just perfect timing.