Hair loss and scalp lump

Instructions

You are a medical student on placement in general practice. Your next patient is Makur Arok, 7, brought in by his mother, Akuol, because of a patch of hair loss on his scalp that began six weeks ago and has become sore and swollen.

1. 1

   Take a focused history from his mother

2. 2

   Examine the patient

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Describe your examination to the examiner; findings will be given on request