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Abdi Latif

The medical report is for Abdilatif Ali, a 25 year old male seen at Derma Skin Clinic on January 19, 2023. He presented with rashes on his face for 5 years that have been increasing. On examination, he has small papules distributed on his face with some comedones on his cheeks and post inflammatory hyperpigmentation. He was diagnosed with folliculitis and moderate acne vulgaris. The prescribed treatment included doxycycline, fluconazole, cleansing soap, adapalene gel, ketoconazole cream, nadifloxacin cream, and a vitamin C sunscreen to use for 30 days.

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Edward Mutegeki
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47 views2 pages

Abdi Latif

The medical report is for Abdilatif Ali, a 25 year old male seen at Derma Skin Clinic on January 19, 2023. He presented with rashes on his face for 5 years that have been increasing. On examination, he has small papules distributed on his face with some comedones on his cheeks and post inflammatory hyperpigmentation. He was diagnosed with folliculitis and moderate acne vulgaris. The prescribed treatment included doxycycline, fluconazole, cleansing soap, adapalene gel, ketoconazole cream, nadifloxacin cream, and a vitamin C sunscreen to use for 30 days.

Uploaded by

Edward Mutegeki
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Derma Skin Clinic

Block C, Room F1-12


Ntinda Complex
Plot 31 Ntinda-Kisaasi Rd
Ntinda, Kampala
Tel: +256 782932937/+256 750606061
Email: dermaskinclinicug@gmail.com

DERMA SKIN CLINIC MEDICAL REPORT


Name: Abdilatif Ali
Gender/Age: Male/25 Patient No: 23-0070
Visit No: 230070001 Visit Date: 19 January 2023
Bill Mode: Cash Primary Doctor: Oria Margaret
Bill Customer Name: Cash Customer

TRIAGE:

CLINICAL FINDINGS:

Presenting Complaint:
C/o rashes on the face for 5 year, started few but been increasing over
time. hasnt been using some creams with minimal improvement.

Clinical Notes:
Has got small micro papules well districuted on teh face with few comedones
on the cheek and PIH

Provisional Diagnosis:
P. folliculitis with amoderate acne vulgaris

DIAGNOSIS:

PRESCRIPTION:

No: Drug Name: Dosage:

1 DOXYCYCLINE 100mg Azudox 2x1 (2 caps once


aday after FOOD
strictly) for 30
days

2 FLUCONAZOLE 200MG 1x1 (1 cap once


aday for 7 days)
for 7 days

3 TRI TECT CLEANSING SOAP 1x2 (wash face


twice daily for one
month) for 30 days

4 ZINO PLUS SOAP 1x2 (wash face


thrice aweek for
one one month) for
30 days

5 ADAPALENE DERIVA GEL 1x1 (Apply at night


aletrnating with
ketoz) for 30 days

6 KETOCONAZOLE CREAM 30g 1x1 (Apply at night


alternating with
deriva) for 30 days

7 NADIFLOXACIN 1% (NADOXIN) 1x1 (Apply every


day in teh mornings
after cleansing)
for 30 days

8 Vitamin C Sunscreen SPF 50 1x3 (Apply every


day in the mornings
after andoxin cream
and every three
hours during day
time) for 30 days

Doctor's Sign: .................... Date: ....................

Printed by MARGARET ORIA on 19 January 2023 at 05:36 PM from ClinicMaster

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