Dr Sudais Derma Care

Distinguishing between Seborrheic Keratosis (a harmless growth) and Basal Cell Carcinoma (a common skin cancer) is vital. To the untrained eye, they can sometimes look like simple "moles" or "spots," but their characteristics are very different.
🐍 The Comparison Flow
START HERE
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SEBORRHEIC KERATOSIS (The "Barnacle")
* Status: Benign (Non-cancerous) ✅
* Look: Waxy, scaly, "stuck-on" appearance 🕯️
* Color: Tan, brown, or black 🟤
* Texture: Often crumbly or wart-like; feels like candle wax 🕯️
* Borders: Usually very distinct and round 🟢
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VS
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BASAL CELL CARCINOMA (BCC)
* Status: Malignant (Skin Cancer) ⚠️
* Look: Pearly, shiny, or "flesh-colored" bump 💎
* Signs: Tiny visible blood vessels (telangiectasia) or a central "crater" 🩸
* Behavior: A sore that won't heal; may bleed then crust over 🩹
* Edges: Often "rolled" or rounded borders ⭕
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END
🎓 Student Memory Hack: The "WSP" Method
To differentiate them quickly in a clinical setting, remember WSP:
* W – Waxy & Wart-like (points to Seborrheic Keratosis).
* S – Shiny & Sore-like (points to Basal Cell).
* P – Pearly or Pink (classic Basal Cell appearance).
💡 Key Clinical Difference
* Seborrheic Keratosis looks like it was dropped onto the skin (you could almost peel it off).
* Basal Cell Carcinoma looks like it is growing out of the skin (it is rooted and often shiny).
⚕️ Medical Disclaimer: This is for educational purposes. Any new, changing, or bleeding skin lesion should be evaluated by a dermatologist with a dermatoscope for an accurate diagnosis.

DANDRUFF (Seborrheic Dermatitis)
* Cause: Fungus/Yeast (Malassezia) 🍄
* Look: Greasy, yellow, or white flakes 🍳
* Feel: Oily scalp, itchy but flat skin 🧴
* Range: Stays on the scalp/hairline 🛑
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VS
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PSORIASIS (Autoimmune)
* Cause: Hyperactive immune system 🛡️
* Look: Thick, "silvery" metallic scales 🥈
* Feel: Raised plaques, very itchy, may bleed 🩸
* Range: Creeps onto forehead, ears, or neck 🗺️

The standard landmarks used for Botulinum Toxin Type A (e.g., Botox, Dysport, Xeomin).
Full Face Injection Map 🗺️
1. Upper Face (The "Look of 3")
* Forehead (Frontalis): 4–6 points arranged in a horizontal row or "V" shape.
* Placement: Always at least 1.5–2 cm above the orbital rim to prevent brow drop.
* Frown Lines (Glabellar Complex): 5-point "V" pattern.
* 1 point in the procerus (center, bridge of nose).
* 2 points in each corrugator muscle (medial and lateral).
* Crow's Feet (Orbicularis Oculi): 3 points per side.
* Placement: Fan-shaped, roughly 1 cm lateral to the bony orbital rim.
2. Mid-Face & Perioral
* Bunny Lines (Nasalis): 1–2 points on each side of the upper nasal bridge.
* Lip Flip (Orbicularis Oris): 2–4 tiny superficial points along the vermillion border (Cupid's bow).
* Gummy Smile (LLSAN): 1 point on each side, roughly 1 cm lateral to the nostril (the "Yonsei point").
3. Lower Face & Jaw
* Mouth Corners (DAO): 1 point per side.
* Placement: Draw a line from the corner of the mouth to the jawline; the point is usually 1 cm lateral and 1 cm inferior to the oral commissure.
* Chin (Mentalis): 1–2 points in the center of the chin to stop "peach pit" dimpling.
* Masseters (Jaw Slimming): 3–5 points in a triangle pattern over the bulk of the muscle (near the jaw angle).
* Nefertiti Lift (Platysma): Multiple points along the jawline and down the vertical neck bands.
💉 Dosage & Depth Quick-Reference
| Zone | Est. Units (Total) | Dept |
| Glabella | 20 Units | Deep (Intramuscular) |
| Forehead | 10–20 Units | Intramuscular/Subcutaneous |
| Crow's Feet | 12 Units/side | Superficial (Subdermal) |
| Masseters | 20–30 Units/side | Very Deep |
| DAO (Mouth) | 2–4 Units/side | Superficial |
⚠️ Critical Clinical Landmarks
* The "No-Fly Zone": Avoid injecting within 1 cm of the bony orbit near the mid-pupillary line to prevent ptosis (eyelid droop).
* Modality: Upper face injections are generally deeper (intramuscular), while lower face/perioral injections are kept very superficial to avoid affecting deeper muscles used for eating and speaking.

🌟 Post-Botox Aftercare:

6 Essential Rules
To ensure the best results and keep your glow on track, follow these simple steps after your treatment:
* Keep Your Head Up: Stay upright for at least 4 hours. Avoid lying down or bending over to prevent the toxin from migrating to unwanted areas.
* Hands Off: Do NOT rub, massage, or apply firm pressure to the treated areas for 24 hours. Let the product settle exactly where it was placed.
* Skip the Gym: Avoid strenuous exercise and heavy lifting for 24 hours. Increased blood flow can move the Botox before it has fully bound to the muscle.
* Stay Cool: Avoid high-heat environments like saunas, hot tubs, or direct sun exposure for 24 hours. Heat can increase swelling and vasodilation.
* Clean Gently: You may wash your face, but use a gentle touch and cool water. Avoid facials, chemical peels, or microdermabrasion for at least 7 days.
* Be Patient: Remember, Botox is not instant! You will see the first signs of smoothing in 3–5 days, with the final, beautiful result appearing at 14 days.

RRE RESULT 2023
Total 2680 number
Pass 108
Fail 2572
4 % passing ratio
96% fail

KMU CAT test Registration will start feom 15th of August 2023

List of PMDC approved foreign undergraduate medical universities

meeting of Foreign Medical Graduates was held with Registrar PM&DC regarding the current and long-term issues of foreign graduates. The meeting was held on 17th February 2023 at PM&DC Secretariat Islamabad. The Registrar PM&DC in detail replied to all the queries and questions of the foreign graduates. Important information pertaining to the queries of the students the Registrar Dr.Suleman Ahmad apprised as follows:
After the promulgation of PM&DC Act 2022 (Notified 13th January 2023), The PM&DC is trying hard to facilitate the Medical and Dental students and doctors across the country. PM&DC is taking NEB examination conducting matter as high priority to address and resolve the anxiety of students. All mandatory arrangements are in process and by next week the portal for the registration will be opened for registration to appear in NEB exam. All relevant updates in this regard shall be updated on PM&DC website from time to time.

•Graduates who already cleared the NEB step 1 and 2 exams before 2020 may send request along with relevant documents for registration of PM&DC.

•As per PM&DC Act all the foreign graduates shall be issued provisional registration certificate for house job who graduated from PM&DC recognized institution, to save time of students.list will be uploaded soon. The students during house job can appear in NRE exam.

•Foreign graduates undergo two mandatory verification process, first one is verification of degree from degree awarding institute and second is verification of house job upon completion of house job. Previously verifications were done manually through diplomatic channel however now PM&DC verify documentation through emails to minimize the verification time period to as short as possible.

The registrar said he will try to implement
One Year Internship / Observership in Teaching and non teaching Hospitals for foreign students across the Pakistan to complete their University Mandatory Requirements in their final year of Medical studies.

•All Pakistani institutions are bound to offer paid house jobs to their own graduates. However, PMDC will request the council to look into the matter for honorary/paid house job be offered to the foreign graduates in different hospitals of Pakistan to save the precious time of these graduates and maintain uniformity.

• The syllabus will remain the same unless if there any proposed changes by the Council for betterment and to facilitate students. In case of any changes, the students will be informed through PMDC website well before time.

•PM&DC only accepts online submission of documents for all types of licensing / registrations through its website to facilitate the graduates and doctors and avoid the hassle of physical visits. No document shall be entertained manually for any type of registration.

•The graduates who clear NRE 1 are eligible to appear in the next part and after the result they are eligible for permanent license after the verification.
•As per PM&DC Act the NRE 1 & 2 exam will be conducted twice a year.
•The centers are decided according to the number of candidates appearing in exam in that city. PM&DC ensures to facilitate all the graduates and wants to give equal opportunity to appear in the exams, therefore, PM&DC allocate maximum centers of examinations in every province for the MDCAT, NLE and NEB exams.

•Doctors can apply for practical experiences through PM&DC portal online.

A continuous monthly meeting shall be done to strengthen communication between Foreign Medical Students and graduate Representatives to reduce the gaps and smooth flow of working.

Regards

Delegation / Members of Foreign Medical students & Graduates

Dr Asif Maqsood Butt
Dr Abrar ul haq Satti
Dr Kafayat ullah
Dr Touqeer Ahmed Nadir
Mr. Noshad Ahmed

Functional website

pmdc.pk

Instead of NLE WILL be NRE
for FMGs
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