Rosacea

Clinic A/P, adults, DERMATOLOGY

Diagnosis History and Physical Differential diagnosis. Treatment Treatment goals: 1) Decrease exposure to triggers, 2) Reduce bacterial burden, 3) Reduce inflammation. Nonpharmacologic treatment -Sunscreen with both UVA/ UVB protection via physical barriers (titanium...

Fungal Rash

Clinic A/P, adults, DERMATOLOGY

Fungal rash to the trunk, not intertriginous, but along the mid-axillary line at the level of the xiphoid process where the bra covers. Rx: Clotrimazole 1% cream, disp: 60 grams.

Venous insufficiency (Varicose Veins, Thrombophlebitis)

Clinic A/P, adults, DERMATOLOGY

Diagnosis H&P Treatment -Leg elevation, -Compression stockings. Will try 20-30 mmHg which works for most patients. -Aspirin or NSAIDs and topical anti-inflammatory gels. -Will try treatment for 6 months, if no significant improvement, will refer to vascular...

Scabies

DERMATOLOGY

Tx: Permethrin 5% lotion. Repeat application of permethrin in 7 days. “Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits...

Perioral Dermatitis

DERMATOLOGY

** Avoid steroids! it usually spares the vermillion border of the lips, especially the upper lip.

Lichen Simplex Chronicus

DERMATOLOGY

50 yo M with DM & HTN presents with a 6-month history of generalized pruritus. He reports that he scratches frequently. On examination his skin is dry and scaly. He has multiple linear excoriations and thickened skin on his forearms, legs, and neck. Dx: Lichen...