Psoriasis

OVERALL_INSTRUCTIONS

Chief Complaint

Psoriasis management and treatment response assessment.

Template

DATE: [Insert Date] [Patient Name] was seen today for psoriasis, currently being treated with [Enstilar|Dovobet|Elidel|Protopic|Clobex spray|Diprosalic|Silkis|Zoryve|Methotrexate|Soriatane|Otezl]. [Patient Name] has noticed [improvement|no improvement] from the treatment. They are experiencing [side effects|no side effects] from the regimen. On examination today, [Patient Name] has [erythematous plaques with superficial scale|hyperkeratosis|pustules|hyperpigmentation|fissures] on the [face|neck|scalp|chest|back|arms|palms|hands|intertriginous areas|buttocks|anterior thighs|posterior thighs|lower legs|soles]. Overall, things have [improved|not improved] since last visit. PASI: [Insert PASI score] DLQI: [Insert DLQI score] BSA: [Insert BSA percentage] ASSESSMENT: [Psoriasis vulgaris|Palmoplantar Ps|Erythrodermic Ps|Pustular Psoriasis|Intertriginous Ps] PLAN: 1. We discussed the importance of moisturization with the patient. 2. We've asked them to use gentle soap only in the axillary and perineal areas. Other areas need not be washed with soap. 3. We instructed the patient to apply a moisturizing CREAM (not lotion) after each bath or shower. [null|We gave the patient some samples of cleansers and moisturizers to try.] 4. Continue with the current topical corticosteroids. [null|Introduce a vitamin D analog cream.] 5. Provided education on scalp care and stress management. Schedule a follow-up in 8 weeks to assess the response and adjust the treatment plan as needed. FOLLOW-UP: Schedule a follow-up in [6 weeks|3 months|6 months|1 year|PRN] to assess the response and adjust the treatment plan. Thank you. Yours Sincerely,