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DERMATOLOGY CONSULTATION

HISTORY: This is an 82-year-old male with a rash on the leg. The patient has had this rash for two months and had used antibiotics with minimal relief. The patient has no allergies to medicine but he has multitude of medical problems. He has hypertension, diabetes, stroke, previous MI, osteoporosis, and prostate cancer.
 
PHYSICAL EXAMINATION: Reveals brown papules on the face. The patient also has multiple brown papules on the trunk and extremities. Lower legs were edematous with scaling and redness. He also has scaling on the feet.

IMPRESSION: Seborrheic keratosis, stasis dermatitis and tinea pedis.

RECOMMENDATION: All risks and options were explained to him. It is recommended that he have a vascular evaluation. He was prescribed Lidex ointment and Spectazole cream.