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Built for dermatology follow-ups where treatment response, BSA/severity change, pathology results, and regimen adjustments are the visit's job.
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Dermatology Follow-Up Note Interval History - Change in skin symptoms since last visit (itch, pain, clearance, new lesions, flares). - Treatment adherence, application technique issues, and adverse effects (irritation, dryness, systemic side effects). - Impact on sleep, work, and quality of life; interim urgent visits if any. Pathology / Data Reviewed - Biopsy results, labs for systemic therapy monitoring, and culture results as discussed. Exam - Interval exam of treated areas and full-skin exam if performed. - Severity markers (BSA, IGA/PGA, PASI/EASI components if used) and morphology update. Assessment - Interval disease status (improved / stable / worsened) and diagnosis update. Plan - Continue, adjust, or escalate therapy with rationale. - Procedural plans, monitoring labs, patient education, and follow-up interval.
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Interval History Psoriasis follow-up on apremilast 30 mg BID for 12 weeks. Plaques thinner; itch improved from 7/10 to 3/10. Mild diarrhea first 2 weeks, now resolved. Adherent. No new joint symptoms. Data Reviewed Baseline labs previously normal; no new labs today. Exam Erythematous plaques with residual scale on elbows and sacral area (~3% BSA; was ~8%). Scalp mild. Nails unchanged. No pustules. Assessment Plaque psoriasis, partial response to apremilast—clinically meaningful improvement. Plan Continue apremilast. Add calcipotriene/betamethasone foam PRN stubborn plaques. Discussed biologic escalation if plateau. RTC 3 months; sooner for flare, persistent GI toxicity, or new joint swelling.
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