17. Dermatology: Eczema
| Evaluation Dialogue Between Doctor-Patient: | |
|---|---|
| Doctor | What’s your name? How old are you? |
| Patient | Me llamo Pedro y tengo siete años. |
| Doctor | Tell me what’s happening with your skin. |
| Patient | Tengo rojeces en los brazos y en las piernas. Me pica mucho. Por las noches no puedo dormir del picor. |
| Doctor | How long has this been happening? |
| Patient | Desde hace tres semanas, pero me pasa todos los inviernos. |
| Doctor | Has your son been treated? |
| Mother | Le pongo mucha crema hidratante, pero no mejora. |
| Doctor | Does he have any illnesses? Any allergies? |
| Mother | Tiene asma y alergia al polen de gramíneas y ácaros. |
| Doctor | Any family history of skin illness? |
| Mother | Yo tengo dermatitis atópica. |
| Doctor | Well, Pedro, let’s take off your clothes so I can see your skin. |
| Post-Examination Dialogue Between Doctor-Patient: | ||
|---|---|---|
| Doctor | Pedro has eczema in the creases of his arms and legs. Those red, peeling spots that are so itchy are similar to atopic dermatitis. | |
| Mother | ¡Lo sabía! | |
| Doctor | When it’s eczema, putting on lotion is not enough, you have to apply treatment creams. In this case, topical corticoids. So, Pedro, I’m going to write you a prescription for a cream that you need to apply thinly over the affected zones once a day, until the eczema is gone, in approximately 7 days. | |
| Patient | ¿Y esto me quitará el picor? | |
| Doctor | In addition, you’ll take an antihistamine to relieve the itch. You’ll take one pill before bed, so you can sleep, and not scratch yourself during the night. | |
| Mother | Muchas gracias. ¡Hasta pronto! | |
