need to moisturize the skin throughout the day, as this is the first-line therapy. Educated M.G. and her mother that dry-skin should be moisturized with ointments because of it provides more benefits rather than use of lotions which are high water and low oil content. • Educated M.G and her mother to avoid using moisturizers that have humectants as the primary ingredient. Humectants contain glycerin ammonium lactate or urea as the primary active ingredient. • Recommended the use of lip balm throughout the year and especially during winter months. Finally, we discussed how to get the inflammation under control with the use of pharmacological therapies that can help to break the itch-scratch cycle. The patient was given a prescription for Triamcinolone acetonide ointment 0.1%, a topical steroid, for 3 to 7 days for controlling inflammation. Patient was instructed to gently massage the medication into the skin in one thin layer. The patient was also given a prescription of hydroxyzine, an antihistamine, to be taken once daily at bedtime in order to improve sleep during initial treatment and flares (Uphold & Graham, 2013). Evaluation and Revisions I reassured M.G. and her mother further explained that although the condition is chronic, it is possible to get things under control if the treatment plan is followed. The patient was asked to return for a follow-up visit in 2 to 4 weeks so that the effectiveness of the therapy can be determined. Subsequently, she would be able to…
REASON CHIEF COMPLAINT: Right forearm lesion. BLANKLINE The patient was referred for a right forearm lesion that he claims has since resolved. He gives a history of a skin cancer of unknown type that was excised from his left chest about 10 years ago. He has questions concerning several stuck on keratoses over his trunk and extremities that he claims are similar to the resolved site on his right forearm. He also has a 3-4 month history of an asymptomatic slowly enlarging site of his right…
from 04/21/2016. Because of the lengthy time of his methotrexate usage which was approximately eight years, methotrexate was stopped by Dr. Stewart in April and the patient has been using just topical care only. He did discontinue his triamcinolone cream on his face and his steroid induced acne is much improved since discontinuing same. Currently, he is using triamcinolone 0.1% cream about once a day to twice a day chiefly to the skin folds in the groin, in gluteal cleft and perianal area…
The subject, Papa Bear, is an Asian-American that is a 5’4” 48-years old male that weighs approximately 240 pounds. He was diagnosed with high cholesterol in August of 2015 and is currently taking atorvastatin. Near end of August, Mr. Bear was in a minor car accident that caused him to have neck and back pain, and is now on metaxalone, cyclobenzaprine, and meloxicam. Not only does he currently have high cholesterol and feeling pains from his neck down to his lower back, for about 40 years Mr.…
This week I was able to observe how the clinic handles inbox telephone messages received from patients and inbox referrals for new patients when they need to be seen by Becky Godby. Chuck asked me to assist him with a vaginal cyst examination. Dr. Rosengren allowed me to draw up an injection with lidocaine and triamcinolone acetonide (Kenalog), which was performed under his direct supervision. I observed a Papanicolaou (PAP) smear procedure, setup, and collection with theThinPrep Pap test. Under…
hypersensitivity reactions. Panderm cream is a multipurpose cream that is found to be useful in treating moderate inti-inflammatory skin lesions due to its anti-inflammatory, antipruritic, antibacterial and antifungal characteristics. It has four main active ingredients as follows: Neomycin Sulfate, Nystatin, Triamcinolone Acetonide and Gramicidin. The active component of Panderm, Neomycin Sulfate, is a bactericidal aminoglycoside antibiotic that binds to the 30S ribosome of susceptible…
My daughter developed atopic dermatitis as an infant. It had no specific pattern. And I was unable to find any specific trigger. I would put colloidal oatmeal in her bath water and apply colloidal oatmeal based lotion to her rash. She was also prescribed Triamcinolone Acetonide cream, which is a topical corticosteroid. The both provided relief from itching and decreased severity. As she has gotten older, her flare ups have almost completely stopped. She did have one over the summer and…
pneumonia and back sprain. Past surgical history includes back surgery, complete colonoscopy, distal re-insertion of ruptured biceps tendon, elbow surgery, hand incision tendon sheath of a finger, knee surgery, neck surgery, nerve ablation, nerve ablation paravertebral facet joint and neuroplasty decompression median nerve A1 carpal tunnel. On examination, lumbosacral paraspinous processes and paraspinal musculature are mildly tender to palpation. Lumbar facet loading maneuvers are positive…
These medications work best at long term prevention but do not aide in acute attacks are recommended in the smallest dose possible (Arcangelo, 2013). Beclomethasone, fluticasone propionate, and triamcinolone acetonide are some examples of inhaled steroids. Mast cell stabilizers (Intal and Tilade) are also used for long-term control and are very effective in exericise-induced asthma. Singular is a leukotriene modifier and works my preventing leukotriene-mediated bronchoconstriction (Arcangelo,…
as possible so that they can recover much faster and have a speedy recovery. Nurses tend to also create a community with the patent. They try to make the patient feel like home in order for them to provide the best care possible. That way, patients can go home and tell everyone on how the nurses from the hospital made him feel. Nurses also tend to have their own language to communicate with each other. Their language is called medical terminology. They tend to do this in order for patients no…