Steven Chen

@DrStevenTChen

Dermatologist/internist at - interest in complex/onco & | Derm APD | Father | Husband | Karaoke enthusiast. Tweets are my own.

Vrijeme pridruživanja: travanj 2018.

Tweetovi

Blokirali ste korisnika/cu @DrStevenTChen

Jeste li sigurni da želite vidjeti te tweetove? Time nećete deblokirati korisnika/cu @DrStevenTChen

  1. Prikvačeni tweet
    12. ožu 2019.
    Poništi
  2. 2. velj

    Looking up a fancy pants restaurant’s menu and having a conversation with my wife about how we’re not “fine-dining people....” Me: omg, the corkage fee is 90 bucks! Wife: WAIT. Do you have to pay the corkage fee if it’s a screw top? Me: 😱 genius....

    Poništi
  3. proslijedio/la je Tweet
    31. sij
    Prikaži ovu nit
    Poništi
  4. 31. sij

    Anyone else drop their kids off at school, drive off, and realize 20 minutes later they’re still playing and singing along to the kids’ playlist? No? Just me grooving to baby shark in every possible permutation? 👶🦈 🎵Doo doo doo doo doo🎶

    Poništi
  5. proslijedio/la je Tweet
    28. sij
    , , i još njih 7
    Prikaži ovu nit
    Poništi
  6. 26. sij

    By that logic, all rashes are made up of individual lesions, you can have just one lesion that isn’t a rash. FWIW, some dermatologists don’t like the term “rash,” and so they call everything a “skin eruption” or a lesion. 🤷🏻‍♂️ Any other thoughts from ?

    Prikaži ovu nit
    Poništi
  7. 26. sij

    So if you have something that is just that one thing, it by definition is a lesion (for ex, a mole, SK, AK, Cherry angioma, etc). A rash is also described by primary lesions, but there’s usually a lot of them (for ex: a morbilliform rash is made of many 3-4 mm pink papules).

    Prikaži ovu nit
    Poništi
  8. 26. sij

    1/ Haha, I love how meta this is. Here’s my opinion (but just one way to think about it). We describe everything by “primary lesion.” This means using a term like: macule, papule, patch, plaque, nodule, tumor, vesicle, bulla, pustule.

    Prikaži ovu nit
    Poništi
  9. proslijedio/la je Tweet
    26. sij

    Such an amazing thread! Thank you so much You make Paed Derm super easy and interesting!

    Poništi
  10. 24. sij

    Thanks everyone for having me! This was a whirlwind of twitter activity, so my apologies if I didn't respond to a question. Hope everyone got something out of it!

    Poništi
  11. 24. sij

    If atopic derm - critical to also counsel on dry skin care! - Avoid hot showers, limit to 5 minutes with lukewarm water. - apply moisturizers right after patting dry. - humidifiers in the winter.

    Prikaži ovu nit
    Poništi
  12. 24. sij

    Remember that eczema is a pattern, but the underlying cause is important. If it's something they've had for a long time, more likely atopic derm! if it's new and acutely occurring, think contact derm. If contact derm --> consider patch testing with dermatology

    Prikaži ovu nit
    Poništi
  13. 24. sij

    A4 - Great work everyone! Eczema acutely is vesicular. Chronically is lichenified (thickened skin with accentuated skin markings), and subacute is that stuff we get used to seeing that is scaly and sometimes moist.

    Prikaži ovu nit
    Poništi
  14. 24. sij

    A3 Couple pointers - don't pick and don't squeeze them! It can make it worse. For mild - topicals For hormonal in women - think OCPs +/- spironolactone For cystic - send 'em to use for isotretinoin. Only "cure" for acne.

    Poništi
  15. 24. sij

    Finally - one more on topical steroids in case it helps. And last tip - make sure you prescribe enough! Saying 1 tube to the pharmacy means you get the smallest tube! Full body rash - think about a 1 lb jar of triamcinolone!

    Prikaži ovu nit
    Poništi
  16. 24. sij

    A couple more points. Desoximetasone is the least allergenic, so try that if the patient has a weird contact allergy to steroids! For scalp, use solutions, foams, and oils (depending on patient preference).

    Prikaži ovu nit
    Poništi
  17. 24. sij

    My tip is is to pick their favorite strong, medium, and low potency 'roid. My go to 'roids are: strong - betamethasone dipropionate 0.05% ointment OR clobetasol 0.05% mid - triamcinolone 0.1% ointment Low potency - either desonide or hydrocort 2.5%

    Prikaži ovu nit
    Poništi
  18. 24. sij

    Just like you said, weak ones for thin skin (face, axillae, groin). Stronger ones for the rest Overall, steroids can be given BID x 2 weeks, then a 2 week break. I tell patients 2 weeks out of the month, OR you should not use it as much as you're using it.

    Prikaži ovu nit
    Poništi
  19. 24. sij

    A2 - Holy moly, you guys are awesome. So much chatter and good information flying around. Trying to keep up. Okay - I'm going to recap the good stuff I just heard for everyone. Patients prefer: lotion >cream > ointments Strength is ointment >cream >lotion

    Prikaži ovu nit
    Poništi
  20. 24. sij

    A1 A couple last things for this question - For tx: MSSA coverage, unless purulent, then MRSA (and swab it). POs, unless >1 SIRS criteria, then IVs. Here's my in case it helps!

    Poništi
  21. 24. sij

    A couple more tidbits of information: I think of venous stasis----> lipodermatosclerosis Lymphedema ----> elephantiasis nostra verrucosa But lipodermato and ENV can have cross over features.

    Prikaži ovu nit
    Poništi

Čini se da učitavanje traje već neko vrijeme.

Twitter je možda preopterećen ili ima kratkotrajnih poteškoća u radu. Pokušajte ponovno ili potražite dodatne informacije u odjeljku Status Twittera.

    Možda bi vam se svidjelo i ovo:

    ·