derm

DC Inst – Rash

DC

You were evaluated in the Emergency Department today for a rash. Your evaluation suggests your symptoms are most likely due to ***.

Please follow up with your primary care physician within 2-3 days. Call 1-800-825-2631 to schedule an appointment with a primary care physician.

Return to the Emergency Department if you experience worsening or spreading rash, worsening or uncontrolled pain, fevers 100.4°F or greater, recurrent vomiting, shortness of breath, discharge from your rash, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Lac Repair

DC

You have been evaluated in the Emergency Department today for a laceration to your ***. Your laceration was repaired in the ED with sutures. Please keep the area surrounding the laceration clean and dry. Please keep the area out of the sunlight for the next 6 months to help prevent scarring. You should have the sutures removed in 7-10 days by your primary care physician, or at your local urgent care or ER. If you develop redness or swelling at the site of your laceration please come back to the ER for a wound check.

We recommend you take 600mg ibuprofen every 6 hours or tylenol 650mg every 6 hours as needed for pain. If needed, you can alternate these medications so that you take one medication every 3 hours. For instance, at noon take ibuprofen, then at 3pm take tylenol, then at 6pm take ibuprofen.

Please follow up with your primary care physician in 7-10 days for suture removal. You can also return to the ER or another urgent care facility for this service.

Return to the Emergency Department if you experience discharge from your laceration, redness around your laceration, warmth around your laceration, fever, vomiting, numbness, tingling, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Peds Rash

DC, Peds

Your child has been evaluated in the Emergency Department today for a rash. Your child’s rash is most likely due to ***.

Please follow up with your child’s pediatrician within three days.

Return to the Emergency Department immediately if your child has worsening rash, rash that spreads to the mouth or the palms of the hands or soles of the feet, fevers that cannot be controlled with tylenol or motrin, behavior changes, or any other concerning symptoms.

Thank you for choosing us for your child’s care.

DC Inst – Cellulitis

DC

You have been evaluated in the Emergency Department today for a skin infection. If the area of inflammation was outlined today in the ER, please return to the ER immediately if the area of redness increases beyond that border. Please take your prescribed antibiotics as directed for the full course of the medication.

We recommend you take 600mg ibuprofen every 6 hours or tylenol 650mg every 6 hours as needed for pain. If needed, you can alternate these medications so that you take one medication every 3 hours. For instance, at noon take ibuprofen, then at 3pm take tylenol, then at 6pm take ibuprofen.

Please schedule an appointment for follow up with your primary care physician as soon as possible.

Return to the Emergency Department if you experience recurrent vomiting, fevers greater than 100.4F, increase in area of redness, warmth around the area, foul smelling discharge from the area, increased tenderness around the area, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Burn

DC

You were evaluated in the Emergency Department today for a burn. Your burn has been dressed in the ER. Apply Bacitracin at home and watch closely for signs of infection.

We recommend you take 600mg ibuprofen every 6 hours or tylenol 650mg every 6 hours as needed for pain. If needed, you can alternate these medications so that you take one medication every 3 hours. For instance, at noon take ibuprofen, then at 3pm take tylenol, then at 6pm take ibuprofen.

Please follow-up as soon as possible with a burn specialist.

For patients who are followed at UCLA Health, you may follow up with our burn clinic.
UCLA Plastic and Reconstructive Surgery
(310) 825-8927
200 Medical Plaza Driveway #465
Los Angeles, CA 90095

The three nearest burn centers are listed below:

USC: 1983 Marengo Street Los Angeles, CA 90033 (323) 409-1000
Grossman: 7325 Medical Center Drive #200 West Hills, CA (888) 676-2876
Torrance Memorial: 3330 Lomita Blvd., Torrance, CA (310) 325-9110

Please also follow up with your primary care physician within three days. Call 1-800-825-2631 to schedule an appointment with a primary care physician.

Return to the Emergency Department if you experience worsening or spreading redness around the burn, worsening or uncontrolled pain, fevers 100.4°F or greater, recurrent vomiting, shortness of breath, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst: Allergic Reaction

DC

You have been evaluated in the Emergency Department today for an allergic reaction. You have been given medications to control your symptoms. You have been observed for several hours in the Emergency Department and you are stable for discharge at this time. You can take Benadryl and Pepcid, which are available over the counter, to help control your symptoms at home.

***You have also been given a prescription for steroids, please take them as directed.

Please schedule an appointment with your primary care physician for follow up.

Return to the Emergency Department if you experience rashes, difficulty breathing or swallowing, lip/mouth/tongue swelling, vomiting, or for any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst: Abscess, Abx

DC

You were evaluated in the ER for an abscess. Please keep the area surrounding the abscess clean and dry. You will be given a prescription for antibiotics, please take the antibiotics as directed for the full course of the medication. If the abscess progresses you may have to have the abscess incised and drained.

We recommend you take 600mg ibuprofen every 6 hours or tylenol 650mg every 6 hours as needed for pain. If needed, you can alternate these medications so that you take one medication every 3 hours. For instance, at noon take ibuprofen, then at 3pm take tylenol, then at 6pm take ibuprofen.

Please schedule an appointment with your primary care physician as soon as possible for follow up.

Return to the Emergency Department if you experience fevers greater than 100.4F, increase in area of redness or swelling, increasing amount of discharge from the area, increased tenderness around the area, or any other concerning symptoms.

Thank you for choosing us for your care.

Benign Rash – Derm – General

MDM

This is a @AGE@ @SEX@ patient who presents with rash for ***, consistent with ***. Differential diagnosis includes contact//atopic//eczematous dermatitis, psoriasis, ***. History and exam findings not consistent with dangerous etiologies of rash such as SJS/TEN, or secondary dangerous causes such as petechial rashes from thrombocytopenia or rickettsial infections. Plan at this time is to treat symptomatically, instruct to follow up with PCP or derm PRN.

Plan: ***

ALLERGIC RASH – Low Risk

MDM

This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. Presentation not consistent with acute anaphylaxis (lack of pulmonary, dermatologic, cardiovascular or GI symptoms, lack of hypotension or exposure to known allergen), angioedema, serum sickness (no recent drug exposure, lacks fevers, arthralgias), ingestion of preformed toxin. No evidence of airway compromise or shock at this time. Plan to treat for an allergic reaction with H1/H2 blockers, steroids. No indication for epinephrine at this time.*** Given lack of respiratory symptoms, no indication for EpiPen Rx.***

Plan: ***H1/H2 blockers, steroids, close hemodynamic monitoring, serial reassessment