J.S., age 16, comes to your office for a routine physical examination. You notic
ID: 136781 • Letter: J
Question
J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief. She works at a fast food restaurant as a cook after school and on the weekends. Her mother has made her stop eating chocolates and greasy foods, but that has not seemed to help her. She is concerned because her prom is in 6 weeks and she wants her face clear. On physical examination, there are open and closed comedones as well as papules on her face and back. No scarring is evident. J.S. confides that she has recently become sexually active. Diagnosis: Acne Vulgaris.
Answer the following questions. Include two references, cited in APA style.
List specific treatment goals for J.S.
What drug therapy would you prescribe? Why?
What are the parameters for monitoring the success of the therapy?
Describe specific patient education based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause you to change therapy.
What would be the choice for second-line therapy?
What over-the-counter or dietary supplement would you recommend to J.S.?
What dietary and lifestyle changes should be recommended for J.S.?
Describe one or two drug–drug or drug–food interactions for the selected agent.
Explanation / Answer
List specific treatment goals for J.S.
To obtain clear skin
To preventy skin from getting scars
To prevent further appearnce of acne.
What drug therapy would you prescribe? Why?
Vitamin A derived products like tretinoin, tazarotene, and adapalene along with antibiotics such as etracycline, minocycline, doxycycline, erythromycin, ampicillin, clindamycin.
Oral contraceptives and spironolactone for regulating hormones
Isotretinoin in case of unresponsive to the above drug regimen which has stronger side effects.
What are the parameters for monitoring the success of the therapy?
Food habits and Dietary patterns
Dirt
Stress
Pressures from wearing helmets, collars, chin straps, suspenders etc
Drugs
Occupation
Cosmetics
Describe specific patient education based on the prescribed therapy.
Regular good night sleep of 8 hours
Maintaining clear and dirt free skin
Avoid using soaps which cause irritants to skin
Avoid using cosmetics
Lifestyle changes
Cleansing and proper skin care
Reducing the oil
Dietary healthy habits
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