PAST MEDICAL HISTORY
He is single. Employed as a mail bagger.
Negative for dermatitis.
Over his forehead, there is a large area covering three-quarters of his forehead that is crusted over with some small amounts of clear discharge. He has another area just under his right eye, and then over his anterior chest and also his upper back. There are no intraoral lesions or other lesions on his body, and they do cross the midline.
Bactroban is ordered, but it is unavailable. He is going to fill a prescription for Bactroban tomorrow. He is discharged home.
Bactroban cream twice daily. He does drive race cars. He was advised to wash his helmet and head mask daily after using it, possibly boiling it. Change his sheets.
Of note, also, on this physical examination, his hands were very red and the skin was tough. He states this is the way they always are. He was advised to use moisturizing creams and return to the ED should he have problems. He is going to follow with his private physician.