Evaluation of dermatology consultations
Abstract
Objective: More than 10% patients of clinics except dermatology have skin findings relevant to their hospitalization or otherwise indicative of a systemic disease. We aim to evaluate demographic and clinical profile of these dermatological inpatient and outpatient consultations, whether consultations are appropriate for dermatology clinic, approaches of specialists except dermatologist to basic dermatologic diseases.
Methods: 473 patients were included to our study. We noted ages and sexes of the patients, colsultation department, complaint, whether any test was wanted, pathology result, pathologic diagnosis, whether additional colsultation was wanted, department about additional consultation, diagnosis, diagnostic compliance between clinics, treatment.
Results: 270 patients (57.1%) were male and 203 patients (42.9%) were female. Mean age of 473 patients was 45,15 ± 1,21 (min. 0 and max 96). We determined that consultations came mostly from internal medicine, pediatrics, infectious diseases, neurology and gynecology.
Conclusion: Dermatology inpatient and outpatient consultations are an important aspect of patient care. Sufficient effort should be given during resident training to gain excellence in this aspect of dermatology. Future efforts to ensure that all hospitals have dermatologists available for staffing inpatient and outpatient consultations are worthwhile to maximize efficiency in appropriate hospitalized patients.
Keywords
dermatology, consultation, internal medicine, pediatrics, infectious diseases
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