dERMA 8

BMT – DERMATOLOGY #8
LOD = 1:40

CONSULTATION REPORT

The patient was admitted to the hospital for treatment of Leg a leg ulceration. Consultation was requested specifically for an eruption on the back and legs, which the patient state states [minus 0.5 for GRAMMAR ERROR] has been present in [minus 0.5 for ADDING WORDS NOT DICTATED] 3 months. No treatment has been given for this. The nurses report that the area had been oozing aton the back, but since the start of oral cuplex Keflex, [minus 3.0 for INCORRECT MEDICINE NAME] the oozing has stopped. The patient is not a good historian, state and states only that the eruption started about 3 months ago, and it is occasionally pruritic.

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

IMPRESSION Confluent: My impression is confluent psoriasis which hashad been secondarysecondarily [minus 0.5 for MINOR ERROR] infected.

PLAN
1. The cuplexKeflex should be continued to treat the secondary infection.
2. The psoriasis will be treated with a combination of 10% LCD in L.C.D. and [minus 0.5 for WRONG CONJUNCTION] 0.1% Triamcinolonetriamcinolone [minus 1.5 for CASING OF MEDICATIONS] cream.

line count = 14.70
negative pts. = 6.50 (44%)
ACCURACY = 56%