Thursday, February 19, 2009

BMT DERMA8

CONSULTATION REPORT

The patient was admitted to the hospital for treatment of Leg ulceration. Consultation was requested specifically for an eruption on the back and legs which patient state has been present in 3 months. No treatment has been given for this. The nurses report that the area had been oozing at the back but since the start of oral cuplex, the oozing has stopped. The patient is not a good historian, state only that the eruption started about 3 months ago and is occasionally pruritic.

PHYSICAL EXAMINATION
Physical Examination showed covering most of the back and also the medial central buttocks, confluent, erythematous, scaly plaque with some crusting, similar plaque were also present on the anterior lower legs.

IMPRESSION
Confluent psoriasis which has been secondary infected.

PLAN
1. The cuplex should be continued to treat the secondary infection.
2. The psoriasis will be treated with a combination of 10% LCD in 0.1% Triamcinolone cream.