DISCUSSION BOARD PEDIATRIC DERMATOLOGY

Case Study 1 (50PTS)
A 7-year-old male presents with a 4-day history of erythematous plaques covered with much thickened yellowish crusting on the face area. You make the diagnosis of non-bullous impetigo.
Using the above information, respond to the following.
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents and include pathophysiology for the diagnosis.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
Discuss potential side effects of each medication
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues.
Discuss non-pharmacological therapies will you include in your plan of treatment
Discuss how you will follow-up with this patient

Case Study 2 (50pts)
A 3-year-old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the physician’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. Her temperature is 37.8°C (100°F), weight is 34 pounds and has slight redness of the throat, a nose full of thick green mucus, and inflamed tympanic membranes bilaterally. She has also developed redness in both eyes. They were crusted and matted shut this morning. You make the diagnosis of otitis media and bilateral conjunctivitis.
Using the above information, respond to the following.
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents and include pathophysiology for the diagnosis.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
Discuss potential side effects of each medication
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues
Discuss non-pharmacological therapies will you include in your plan of treatment
Discuss how you will follow-up with this patient