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INTRODUCTION

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CASE LEARNING OBJECTIVES

  • Recognize the signs and symptoms of tinea pedis and tinea cruris

  • Identify the goals of therapy for tinea pedis and tinea cruris

  • Develop an appropriate treatment and monitoring plan for tinea pedis and tinea cruris on the basis of individual patient characteristics

  • Select an appropriate product for tinea pedis and tinea cruris therapy

  • Properly educate a patient receiving tinea pedis and tinea cruris therapy

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PATIENT PRESENTATION

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Chief Complaint

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"I have an itchy rash in my groin area. It looks like little red rings. By the way, I don't know if it is related but I have something similar on my feet … but I can't imagine why my feet and jock area would have the same rash. I have been rubbing petroleum jelly on the area, thinking that it might be chafing."

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History of Present Illness

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Edward Jacoby is a 26-year-old man who presents to the physician's clinic complaining of severe inguinal itching and soreness, accompanied by a red ring-shaped rash. Thinking that the rash may be due to chafing, he has been applying petroleum jelly to the area. He is an otherwise healthy male who has never been to the clinic before today. Other than petroleum jelly for prevention of chafing, he has not tried any over-the-counter products for the rash. He also expresses concern about the presence of a similar red, itchy rash on his feet.

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Past Medical History

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No significant medical history

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Family History

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Father is alive at age 50 with no significant medical history. Mother is alive at age 48 and has HTN. He has 1 sister who is 24 years old with no significant medical history.

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Social History

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Single and lives with a roommate; has no children. Employed as a physical trainer at a local gym.

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Tobacco/Alcohol/Substance Use

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Denies alcohol, tobacco, or illicit drug use

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Allergies/Intolerances/Adverse Drug Events

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No known drug allergies

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Medications

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No current oral medications

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Petroleum jelly to groin area PRN

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Review of Systems

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General
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Healthy and fit-appearing, Caucasian man in no acute distress

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Vital Signs
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BP 115/65 mm Hg, P 60, RR 12, T 36.2°C

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Weight 180 lb (81.8kg)

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Height 72 in. (183 cm)

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Denies pain

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Skin
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Follicular papules and pustules on medial thigh and inguinal folds; fissures and maceration present between toes

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HEENT
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PERRLA, EOMI; (−) sinus tenderness; TMs appear normal

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