DERMA common Dx Tx
Friday, December 7, 2018
8:50 AM
Acne vulgaris, improved
Acne vulgaris
Folliculitis, scalp
Irritant contact dermatitis,
neck
Irritant contact dermatitis,
left palm secondary to
epoxy (mighty bond) resin
Contact dermatitis prob sec
to laundry detergent
Contact dermatitis sec to
detergent
Seborrheic dermatitis
Seborrheic dermatitis
Tinea corporis
ILSI 10 mg/ml (1:3) today; ideally for TCA peel today but will
defer procedure for now as per patient's request. Continue
Tretinoin 0.025% cream on whole face ODHS. Continue BP
0.5% gel BID spot treatment. Continue Teranex soap BID.
Apply Benzoyl peroxide as spot treatment BID on
erythematous papules. Sunblock SPF 30 above then reapply
every 2-3 hours 30 mins prior to exposure. Apply Tretinoin
0.025% solution ODHS for face. Glycolic soap daily for
washing. Ffup after 2 weeks.
Continue Clear shampoo dail. Mupirocin ointment BID on
affected erythematous area for 1 week only.
Desonide (Desoven) 0.05% cream (sample) given apply BID
for 1 week only on neck
KOH done. Candibec cream BID x 1 week on affected left
palm. Cetirizine 10 mg/tab 1 tab as needed for itch.
Continue previously given Clotrimazole + Beclometasone
dipropionate + Gentamycin for 1 more week. Shift to
Cetaphil restoraderm lotion BID and cleanser (sample).
Fluocinolone acetonide ointment BID for 1-2 weeks.
Petroleum jelly 2-3x/day over lesions.
Ketoconazole + Zinc Pyrithione (Scalpex), lather and leave
on for 10-15 min before rinsing, use daily for shampooing for 2
weeks then every other day for 2 weeks. Head and shoulders
shampoo, use every other day alernating with Scalpex
shampoo.
Daktacort cream, apply BID x 1 week on affected areas,
followed by Nizoral shampoo, leave on 5-10 min, let drip n face.
Use daily x 2 weeks then every other day x 2 weeks, then 1x
per week x 2 weeks, then 1x every 2 weeks on maintenance.
Beclomethasone + Clotrimazole cream BID x 1 week.
Clotrimazole cream BID x 4 weeks. Cetirizine 10mg/tablet 1
tablet ODHS x 5 days then as needed for itch. NSS compress
10-15 minutes BID x 7 days.
Cellulitis, left lower leg Cloxacillin 500mg/cap QID x 7 days to be extended for 10
days. Mefenamic Acid 500mg/cap TID PRN pain. Discontinue
NSS compress 10-1.
Scabies infection Permethrin lotion 5% apply over affected area from the neck
down to the ips of both toes then place it for 8-10 min or at
night then rinse thoroughly the next day and repeat again next
week. Cetirizine 10mg/tab, 1 tab OD for 1 week then PRN for
itch.
Atopic Dermatitis Petroleum jelly 2-3x/day all over body. Mupirocin(bactroban)
ointment BID x 7 days on open sites/wounds on cheeks and
ears. Shift to cetaphil Restoderm cleanser once Physiogel is
consumed.