Dermatology Case Study Onychomycosis Essay Dermatology Case Study Onychomycosis Essay 1.According to the AAFP/CDC Guidelines, what antifungal medication(s) shou

Dermatology Case Study Onychomycosis Essay

Dermatology Case Study Onychomycosis Essay

1.According to the AAFP/CDC Guidelines, what antifungal medication(s) should this patient be prescribed, and for how long? Write her complete prescriptions using the prescription writing format in your textbook.

According to the CDC/AAFP guidelines, the Caucasian patient should get antifungal drugs that can be taken either orally or by applying to the nail. If the condition is severe, like in her case, topical and oral antifungal therapies can be combined. Intraconazole and terbinafine are oral drugs that can be used in this case since they facilitate the growth of new nails, which are free from infection, since they replace the infected areas (Muth, 2017). These drugs should be taken for 6-12 weeks. However, the infection may heal after four months or take more time, especially for older adults. However, these drugs hurt the body and may cause liver damage or skin rash. As a result, they are not recommended to patients with heart failure, liver diseases, or those under other medications. Medicated nail cream can also be rubbed in the infected area to kill the fungus. In this case, the patient should take 250g of terbinafine and 200mg of intraconazole every day for three and two months, respectively.

Notes: Take with food.

RX: Terbinafine

PO: Once a day orally

Disp: 250mg Capsules

Notes: Take with food

RX: Itraconazole

PO: Once a day orally

Disp: 200mg Capsules

2.What labs for baseline and follow up of therapy would you order for this patient? Give rationale.

Before recommending any labs for the Caucasian patient, I would first examine the antifungal agents present in the previous medications given to her. Afterward, I would conduct some blood tests to evaluate the AST and ALT levels of the patient. The normal AST range is recorded between ten to forty units per liter, while ALT is 7 to 56 units in every liter, as noted by Wollina, Nenoff, Haroske, & Haenssle (2016). As therapy continues, these tests would be given after four to six weeks. The tests help monitor the antifungal agents like those in Intraconazole to ensure discomfort and pain is relieved.



Muth, C. C. (2017). Fungal nail infection. Journal of the American Medical Association, 317(5), 546. doi:10.1001/jama.2016.20617.

Wollina, U., Nenoff, P., Haroske, G., & Haenssle, H. A. (2016). The diagnosis and treatment of nail disorders. Deutsches Aerzteblatt International, 113(29-30), 509-518.

– Please elaborated one response with a minimum of 150 words and reference

-APA 6th ed format.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.

Do you need an answer to this or any other questions?