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okay were gonna do some dermatology here for 30 minutes all right how many of you have seen a rash you dont know what it is that food should be every single hand right join the club me too me too the good news is that were gonna see were gonna see a lot of rashes and most I mean honestly most and were not going to know what it is dermatology is you know a multi-year residency they learn so much and so our job is to not miss the ones that have really serious consequences and a lot of those other rashes yes you know were not gonna make a perfect diagnosis but in the end in the long run it probably doesnt matter so lets talk about those life-threatening rashes that you cant miss thats what were gonna go over for these next 30 minutes so were gonna talk about toxic shock syndrome were gonna talk about stevens-johnson syndrome toxic epidermal necrolysis and some of the bullets diseases the blistering the the blistering and vesicular diseases in order to talk about necrotizing