Dandruff Regimen
KETOCONAZOLE SHAMPOO ..WITH.. ZINC PYRITHIONE.. TWICE WKLY.. 4 WKS.. REGULAR USE OF.. SHIKAKAI ..SHAMPOO..
Mine is asking to apply Candid B Lotion over scalp followed by shampooing with Ketoconazole 2% twice weekly for initial 4 weeks, followed by once weekly
Selsun shampoo biweekly Antioxidants
Scalpe once a week Homeopathy Sulphur 30 acid flour 30 phosphorus 30 chew tds
SALSIA KT SHAMPOO FOR BATH, LOTION IVERIA APPLY LOCALLY AT BED TIME
Ciclopirox with flucinalone gel apply after that ketoconazole shampoo
Selsun shampoo Tab Flucon .. 1 wky
Onion Shampoo
Mama Earth PRODUCTS
Cases that would interest you
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Female 45y, had some mild signs that might suggest COVID in the past 3 weeks (no fever, but mild rhinitis and cough). Since one week has these painful chilblains. Blood tests are on going. Do patients report of same pictures during the COVID pandemic? Please discuss the case.
Dr. Yogesh Varma6 Likes24 Answers - Login to View the image
61 yea old male underwent a recent CABG (on plavix) who came with sudden diffuse hemorrhagic rash and purpura as shown in pictures. Much more prominent in legs than the abdomen, very minimal on upper extremities and back. Otherwise everything else normal. No fever, no leukocytosis, not in any distress, GFR almost 50. Do you think plavix can cause that?
Dr. Gopal Arora3 Likes23 Answers - Login to View the image
77 yeas old female with a background notable of metastatic small bowel GIST. The patient is on chemotherapy, HTN, thyroidectomy, cholecystectomy presented with 10 day Hx of intermittent fevers, nonproductive cough, and increased Shortness of breath. PO2 8.8 on FiO2 0.85 on admission Admitted to ICU and Intubated Lung protective ventilation commenced but desaturated to 80% following RIJ CVC. Decompressed by the bedside and a CXR was performed that revealed large pneumothorax. The chest drain inserted with pneumothorax resolved gradually. 1 day after admission the admitting diagnosis was confirmed COVID-19. What are your experiences and knowledge of managing COVID-19 patients? Please discuss
Dr. Harshita Jain4 Likes21 Answers - Login to View the image
This patient had subclinical hypothyroidism. What is the diagnosis? A) Ectopic thyroid B) Hashimoto thyroiditis C) Iodine deficiency D) Pendred syndrome E) Thyroglossal duct cyst
Dr. Raj Sharma2 Likes27 Answers - Login to View the image
A 75-year old man with a history of hypertension, hemorrhagic cerebral infarction one year before, right-sided hemiparesis, and atrial fibrillation was brought to my hospital because of suspicious COVID-19 infection. He was seen in the ER because of a few days of dyspnea which became progressed and bad clinical condition. 7 days before the current presentation patient fell from its bed, and after that, he started to feel pain in his right part of the chest. He also noticed purple discoloration of his feet and left hand, which was painful and progressed further during the next days. He started to have DYSPNOEA, which also progressed. CBC: showed leukocytosis (26,9) and chest X-ray was described as bilateral pneumonia. On exam, the patient was alert, disoriented in time, immobile on the bed, with an obvious right hemiparesis, afebrile, tachypneic (R: 24/min), and bradycardic (P: 55/min), hypoxic (SpO2: 80%), with normal blood pressure. PHYSICAL EXAMINATION: showed dusky purple discoloration of both feet and fingers of the left hand. The patient's right feet showed some darker areas, which could be hematomas. CHEST EXAMINATION: showed the painful right side & we spotted the fracture of the 7th rib. Auscultation of lungs revealed bilateral inspiratory crackles, predominantly on the right side. The heart rhythm was regularly-regular. The rest of the examination was unremarkable. LAB ANALYSIS: revealed elevated urea (11,1) and creatinine (371), hypoalbuminemia (22), elevated LDH (705), and slightly elevated CK (201). The CRP was elevated (272,5), and coagulation panel was highly abnormal - aPTT 85,1s, PT 15%, INR >6,0, fibrinogen 2,4, and D-dimer 162 (normal <0,5). My (differential) diagnosis list for this patient was: - Fat embolism - Warfarin overdose - Bilateral pneumonia - Sepsis He didn't have any criteria for COVID-19, and also, its clinical presentation and disease course was not consistent with COVID-19 infection. The patient was transferred to ICU for further treatment. What do you say on this? I am mostly inclined to fat embolism in the first place, which was complicated, but I do not have experience with this diagnosis. What is your opinion on this case, what would be your further diagnostics and treatment?
Dr. Harshita Jain18 Likes31 Answers
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