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Case 4 CC: Padma Patil is a 16 yo female who presents to the clinic complaining of acne erupting on her cheeks, nose, and chin. She states that she has tried some over the counter products including salicylic acid but that has not seemed to work for her. She is distressed about her appearance and would like your advice. PMH: Allergic rhinitis FH: Non-Contributory Allergies: PCN (itching and rash) Physical Exam: Vitals: BP 110/66, HR- 65, RR- 12, Temp 98 F General: Well-appearing young female in her teens. Somewhat distressed over her appearance. CV: RRR Lungs: Clear to auscultation Integuement: Skin is warm and dry. Numerous closed comedones are apparent across her cheeks, nose, and chin. Papules are scattered on her cheeks. No hyperpigmentation or scarring is apparent. She has oily patches scattered on her face. Medications: • Loratadine OTC Questions 1. What medications would you look for on her home medication list? 2. What factors need to be considered for treating Padma? 3. What lifestyle factors would you counsel Padma on? 4. How would you characterize Padma’s acne? 5. What vehicle or formulation would you consider for Padma based on her skin type? 6. What would be a good
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