Review - Clinical X (Dermatology)

dark gothic, industrial, choral/ritual ambient

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V5.5

[Block 1: The beat is a slow, rhythmic march. The vocals are deep and steeped in heavy reverb.]

Pityriasis rosea ro se aaaaaaa “mild itching, “Herald Herald patch, 1–2 weeks after, Christmas tree trunk. Eruption lasts 6–8 weeks, heals without scar. Often no treatment or topical corticosteroids

Seborrheic dermatitis “acute or chronic. often with psoriasis”. Malassezia, In scalp, face, chest, back, body folds. Dry scales or oily yellowish scurf. Pruritus variable. Tar, zinc pyrithione or selenium shampoos. Topical corticosteroids. selenium se se

Infantile “cradle cap”; appears by 3 months and disappears by 8 months of age. Involvement of the eyebrows, large flexures -distinguish from atopic eczema

[Block 2: The organ swells ominously. A choir of dissonant whispers joins the background as the afflictions worsen.]

Erythema multiforme “Herpes mostly” target lesion, mucocutaneous. Herpes Herpes

S.J.S. “atypical target lesions less than 10 %; T.E.N. more than 30. Mostly by sulfonamides, N.S.A.I.D.s, allopurinol, and anticonvulsants. Mycoplasma causes S.J.S.-like disease, prominent mucosal involvement.

Tinea versicolor “Malassezia, usually upper trunk, dark lesion in white; pale in black people. Spaghetti and meatballs on K.O.H. Oral fluconazole (roar)

[Block 3: The industrial beat grows heavier, grinding like ancient machinery. The vocals become more authoritative and condemning.]

Dermatophytosis “variable pruritus”; oral agents for extensive involvement or nails, hair.

Tinea corporis “terbinafine, econazole, miconazole, ciclopirox, clotrimazole”  Tinea Tinea

Mucocutaneous candidiasis “intertrigo/diaper/vaginal”; “mostly in diabetes, obesity, immunosuppression, pregnancy.” Itching may be intense. Superficially denuded, beefy-red areas in the body folds, there may be satellite vesicopustules. Kept dry. Topical nystatin, clotrimazole for skin. Single-dose fluconazole, or intravaginal clotrimazole, nystatin for vaginal. nystatin statin  tin Itching Itchin I am Itchin

[Block 4: A piercing, high-register organ note holds continuously. The spiritual undertones feel suffocating and intense.]

Intertrigo caused by heat, moisture, and friction. Obesity and humid climates. Candidiasis or bacteria may complicate. Rule out; “Inverse psoriasis,” seborrheic dermatitis, tinea cruris, and erythrasma. Keep dry, Hydrocortisone hydro, go go trigo

Actinic keratoses “small flesh-colored or slightly hyperpigmented papules, can be tender. Usually clinical diagnosis. Treat with liquid nitrogen (cryo) or fluorouracil cream, imiquimod. mode my mode

Acne vulgaris “Avoid topical oil and grease products exposure, tretinoin, benzoyl peroxide. If inflammatory; topical erythromycin or clindamycin or oral doxycycline, minocycline, cephalexin. clindamycin  mycin , vulgar is

[Block 5: The climax of the sermon. The heavy percussion pounds mercilessly. The vocalist roars the final treatments into the cavernous reverb.]

If severe. Isotretinoin “two forms of contraception or abstinence; test triglyceride levels and L.F.T., monthly pregnancy testing”

Rosacea; flushing “heat, hot drinks, spicy, sunlight, alcohol, emotion”. No comedones; may be pustules. Treat lifelong with sunscreen; metronidazole, ivermectin, topical clindamycin, oral tetracyclines. “Avoid topical corticosteroids”. Brimonidine, oxymetazoline or laser for facial erythema. Electrocautery or laser for phymatous.
RosaceaRosacea rose  No stero, no no no

Ocular rosacea “blepharitis, eye irritation, conjunctivitis” Ocular THE EYE, EYE,

[Outro: The industrial beat halts abruptly. A single, low organ drone fades slowly into the darkness. A final, heavily echoed breath. Total silence.]

3897/7500

[Intro: 60 BPM. A massive, wheezing gothic pipe organ plays a dissonant, solemn minor chord. A heavy, industrial iron strike echoes through a vast, empty sanctuary. The Male Vocalist begins his haunting chant.] [Block 1: The beat is a slow, rhythmic march. The vocals are deep and steeped in heavy reverb.] Pityriasis rosea ro se aaaaaaa “mild itching, “Herald Herald patch, 1–2 weeks after, Christmas tree trunk. Eruption lasts 6–8 weeks, heals without scar. Often no treatment or topical corticosteroids Seborrheic dermatitis “acute or chronic. often with psoriasis”. Malassezia, In scalp, face, chest, back, body folds. Dry scales or oily yellowish scurf. Pruritus variable. Tar, zinc pyrithione or selenium shampoos. Topical corticosteroids. selenium se se Infantile “cradle cap”; appears by 3 months and disappears by 8 months of age. Involvement of the eyebrows, large flexures -distinguish from atopic eczema [Block 2: The organ swells ominously. A choir of dissonant whispers joins the background as the afflictions worsen.] Erythema multiforme “Herpes mostly” target lesion, mucocutaneous. Herpes Herpes S.J.S. “atypical target lesions less than 10 %; T.E.N. more than 30. Mostly by sulfonamides, N.S.A.I.D.s, allopurinol, and anticonvulsants. Mycoplasma causes S.J.S.-like disease, prominent mucosal involvement. Tinea versicolor “Malassezia, usually upper trunk, dark lesion in white; pale in black people. Spaghetti and meatballs on K.O.H. Oral fluconazole (roar) [Block 3: The industrial beat grows heavier, grinding like ancient machinery. The vocals become more authoritative and condemning.] Dermatophytosis “variable pruritus”; oral agents for extensive involvement or nails, hair. Tinea corporis “terbinafine, econazole, miconazole, ciclopirox, clotrimazole” Tinea Tinea Mucocutaneous candidiasis “intertrigo/diaper/vaginal”; “mostly in diabetes, obesity, immunosuppression, pregnancy.” Itching may be intense. Superficially denuded, beefy-red areas in the body folds, there may be satellite vesicopustules. Kept dry. Topical nystatin, clotrimazole for skin. Single-dose fluconazole, or intravaginal clotrimazole, nystatin for vaginal. nystatin statin tin Itching Itchin I am Itchin [Block 4: A piercing, high-register organ note holds continuously. The spiritual undertones feel suffocating and intense.] Intertrigo caused by heat, moisture, and friction. Obesity and humid climates. Candidiasis or bacteria may complicate. Rule out; “Inverse psoriasis,” seborrheic dermatitis, tinea cruris, and erythrasma. Keep dry, Hydrocortisone hydro, go go trigo Actinic keratoses “small flesh-colored or slightly hyperpigmented papules, can be tender. Usually clinical diagnosis. Treat with liquid nitrogen (cryo) or fluorouracil cream, imiquimod. mode my mode Acne vulgaris “Avoid topical oil and grease products exposure, tretinoin, benzoyl peroxide. If inflammatory; topical erythromycin or clindamycin or oral doxycycline, minocycline, cephalexin. clindamycin mycin , vulgar is [Block 5: The climax of the sermon. The heavy percussion pounds mercilessly. The vocalist roars the final treatments into the cavernous reverb.] If severe. Isotretinoin “two forms of contraception or abstinence; test triglyceride levels and L.F.T., monthly pregnancy testing” Rosacea; flushing “heat, hot drinks, spicy, sunlight, alcohol, emotion”. No comedones; may be pustules. Treat lifelong with sunscreen; metronidazole, ivermectin, topical clindamycin, oral tetracyclines. “Avoid topical corticosteroids”. Brimonidine, oxymetazoline or laser for facial erythema. Electrocautery or laser for phymatous. RosaceaRosacea rose No stero, no no no Ocular rosacea “blepharitis, eye irritation, conjunctivitis” Ocular THE EYE, EYE, [Outro: The industrial beat halts abruptly. A single, low organ drone fades slowly into the darkness. A final, heavily echoed breath. Total silence.]

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