Table of Contents
Common Questions
Chat with CodyMD
Cody's Chat with Patient
Cody's AI Summary
Top 3 AI Diagnosis List
Review by Dr Albert DiPiero
Dr. DiPiero Video Guide to this Case Study
Resource Center
Testimonials
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Case Study
Meet your host
Albert DiPiero, MD MPH FACP
I am a co-founder and the Chief Medical Officer at CodyMD and your host for this edition of Cody Grand Rounds. I have been a practicing physician and faculty member at medical schools for over 26 years.
About The AI Doctor Case Study
CodyMD is a partnership between Human Doctors and AI Doctors. Cody is an AI Doctor who helps thousands of people every day. At each Cody Grand Rounds, I select a real case and review it with Cody, the AI Doctor.
Each case is based on a real patient but has been modified to maintain privacy and to emphasize certain teaching points.
Common Questions
What causes dry, cracked hands in young women?
Can eczema cause white lines on hands and skin shrinking?
How can I treat redness and itching on my hands at home?
What is contact dermatitis and how is it treated?
Is frequent hand washing harmful to skin health?
What difference does winter make to my skin?
How can AI tools assist in diagnosing skin conditions?
Chat with CodyMD
Click the button below to initiate a conversation with CodyMD, your AI Doctor.
Cody's Chat with Patient
Below is a conversation transcript between the patient and our AI Doctor CodyMd.
Cody, the AI Doctor
Hello! I’m Cody, your AI Doctor trained by human doctors.
Patient
I have had two weeks of dried reddish cracked hands. my hands look like the skin of an 80-year-old.
Cody, the AI Doctor
I am here to help you. How old are you.
Patient
I am 30 years old.
Cody, the AI Doctor
Can you please tell me your sex? For example, are you male, female, or prefer not to say?
Patient
I am female.
Cody, the AI Doctor
My goal is to provide you with an accurate assessment and plan. Lets talk about your concerns regarding dryness and changes in hands' skin. Can you describe the specific changes you're noticing in the texture or appearance of your hands? For example, are there any cracks, peeling, or rough patches?
Patient
All the lines on my hands are white and the skin seems dry and seems to shrink and shrivel like the hands of an old person. This is mostly on the back of my hands.
Cody, the AI Doctor
Ah, got it! How has the dryness and changes in your hands' skin been progressing? For example, is it getting worse, getting better, staying the same, or does it vary from day to day?
Patient
I thought it was happening due to regular hand washing after some time , but I am trying to wash my hands less , but without getting my hands wet , my hands don't go to original state they were before.
Cody, the AI Doctor
Alright, noted. On a scale of 1 to 10, how severe would you rate the dryness and changes in your hands' skin, where 1 is no problem and 10 is very severe? For example, if it's just a little dry, you might say 2, but if it's really bothering you and affecting your daily activities, it could be closer to 8 or 9
Patient
I would say it is about a 6 at its worse.
Cody, the AI Doctor
Does anything help relieve the symptoms or does anything make them worse?
Patient
Applying cream for dry skin makes it slower for my hands to get dry but still my hands get dry after sometime.
Cody, the AI Doctor
Have you noticed any other symptoms accompanying the dryness, such as itching, redness, or any changes in sensation? For example, do your hands feel tight or painful at times?
Patient
There is some redness and itching.
Cody, the AI Doctor
Have you used any new products, just as new soap?
Patient
No.
Cody, the AI Doctor
Have you had any new exposures to toxins, chemicals or anything new in your environment?
Patient
No, not that I know of. But since winter started I have been washing my hands many times per day trying to prevent infections.
Cody, the AI Doctor
Do you have any medical conditions, such as diabetes or low thyroid?
Patient
No, I am otherwise totally healthy.
Cody's AI Summary
- You are a 30-year-old female coming to me regarding your dryness and changes in hands' skin.
- You have noticed white lines and skin shrinking on the back of your hands.
- You initially thought the changes were due to regular hand washing.
- You have been trying to wash your hands less, but the dryness persists.
- You rate the severity of the dryness and changes in your hands' skin as moderate.
- Applying cream for dry skin helps, but your hands still get dry after some time.
Top 3 AI Diagnosis List
Based on the information and conversations with Cody, we have prepared a top 3 AI Diagnosis List.
1. Contact Dermatitis(40 % probability)
An allergic reaction or irritation from substances that come into contact with the skin, leading to dryness and redness.
2. Eczema(30 % probability)
A chronic skin condition characterized by dry, itchy, and inflamed skin, often exacerbated by environmental factors.
3. Psoriasis(20 % probability)
An autoimmune condition that causes rapid skin cell turnover, leading to dry, red patches and potential scaling.
Review by Dr Albert DiPiero
Dr. Albert DiPiero
This case of a 30-year-old woman with dry, cracked, and itchy skin on her hands provides insight into prevalent dermatological issues, especially in winter months. Leveraging AI, such as Cody, presents both efficiency and depth in diagnostic processes. Here are my additional comments:
1. Contact Dermatitis(50% probability)
Condition where irritants damage the protective skin barrier. With frequent hand washing noted, the probability remains at 50%, given the environmental stressors contributing to cumulative irritant dermatitis.
2. Eczema(35% probability)
Eczema is a chronic inflammatory skin disease that causes dry, itchy skin, redness, and sometimes infections, often exacerbated by dry climates and cold exposure. This remains a significant possibility with a 35% probability, marked by typical habitual and seasonal factors.
3. Psoriasis(15% probability)
Usually supported by additional systemic elements or familial predisposition, is less likely at 15%, primarily due to localized nature without broader systemic presentations.
4. Other Considerations:
Two additional considerations include, Id Reaction, although it involves immunological responses secondary to infections, limited evidence of concurrent fungal infection makes this less likely. Fungal Infection (e.g., tinea), similar presentations can emerge from fungal infections; however, the absence of nail involvement or other typical symptoms limits this likelihood.
Next Steps for Evaluation
Diagnostic Testing:
Conduct a comprehensive physical examination of the skin, noting the pattern and characteristics of the skin changes. Special tests, such as patch testing, biopsy, and dermatological referrals are reserved for inconsistencies or treatment refractory cases.
Potential Treatment Modalities
For intervention, avoiding irritants and regular application of emollients, combined with topical steroids, form the cornerstone of managing dermatitis, reducing inflammation and restoring skin barrier function.
Conclusion
In closing, AI demonstrates the dual ability to streamline the diagnostic process and personalize recommendations, thus optimizing timely and effective patient care.
Dr. DiPiero Video Guide to this Case Study
Resource Center
Testimonials
CodyMD is a very precise and accessible app. My consultation with CodymMD is commendable and I highly recommend it for others to try CodyMD especially for assessment and consultation purposes.
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Dr Cody spot on, better than most Human Drs. Also far more pleasant. Try him, he could better help you understand your issues. He will give you good info for your Drs visit as well.
TrustPilot Review
It gave me the best response possible and suggested simple self care treatment options which I'm in favor with. It has a to the point interface and brief answer for better understanding.
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