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Kasus Kulit

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KASUS KULIT

1. A 25-year-old man, Mr MB, presents at your pharmacy complaining about his cold sores. He would like advice
on how to treat them and how to stop them coming back time after time (Group 3)
2. A 17-year-old girl, Miss EV, presents in your pharmacy with her regular prescription for Microgynon 30. Three
months ago she had complained of problems of acne so you recommended that she try an over-the-counter
topical benzoyl peroxide formulation. Her acne does not appear to have improved from the treatment so you
recommend that she makes an appointment to see her GP. The following week she presents a new prescription
for oxytetracycline tablets (500 mg b.d.) (Group 4)
3. Mrs PG, mother of 10-year-old Tanya, came into the pharmacy a few days ago with a prescription for her
daughter. The prescription requested penicillin V oral solution 250 mg/5 mL, 250 mg four times a day and
flucloxacillin syrup 125 mg/5 mL, 125 mg four times a day, at least 30 minutes before food. Her mother requests
information on her daughter’s condition, cellulitis. You notice from your patient medication records that Tanya
had recently been treated for athlete’s foot. A few days later, Mrs PG returns to your pharmacy asking for your
advice. Her daughter has developed a red rash on her back (Group 1)
4. Mr DP, 35 years, has been taking asthma medication for 12 years and occasionally also suffers from eczema. His
regular prescription is for salbutamol inhaler (100 micrograms/metered inhalation); 1–2 puffs as required and
Clenil-Modulite (100 micrograms/dose); 2 puffs twice daily. Today he presents in your pharmacy with a new
prescription for Betnovate scalp application. A week later, Mr DP returns to your pharmacy complaining of
worsening symptoms. Upon examination, you notice redness on an area of his scalp and the skin has a crusted
appearance. You explain to Mr DP that the worsening of his symptoms may be due to a bacterial infection and
that he must make an appointment to see the GP (Group 2)
5. This case study relates to a 47-year-old male patient, Mr GM, with severe psoriasis. The patient has been
suffering with psoriasis on and off for 2 years, mostly in the form of widespread irritation. However, over the last
few months the occurrence of the dry, scaly, shiny red lesions has become more regular and has spread across his
body, after being initially confined to his elbows, knees and lower back. Previous treatment has focused on the
use of topical products. Initially, these were over-the-counter products which provided relief but which also
caused irritation at times. The patient took paracetamol and ibuprofen to help manage irritation, pain and
swelling associated with psoriasis and the topical products. After a consultation approximately a year ago, the
patient’s GP recommended the use of prescription topical products (corticosteroids). These were used regularly
but with variable results. The patient commented that he was sick of waiting for the products to do something,
and usually after two or three weeks he stopped or lessened their use, exasperated at their failure to work. He was
then moved to PUVA (psoralen and UVA) treatment and this had limited success. Currently, the patient is taking
acitretin.

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