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A 16-Year-Old Girl Is Brought to the Office Due to Hair

question 965

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A 16-year-old girl is brought to the office due to hair loss.  Over the last few months, she has developed a few patches of hair loss on the scalp.  The lesions are associated with mild itching just before the loss of hair but are otherwise asymptomatic.  Medical history is unremarkable; the patient's only current medication is an oral contraceptive.  She does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  Scalp examination findings are shown in the exhibit. A 16-year-old girl is brought to the office due to hair loss.  Over the last few months, she has developed a few patches of hair loss on the scalp.  The lesions are associated with mild itching just before the loss of hair but are otherwise asymptomatic.  Medical history is unremarkable; the patient's only current medication is an oral contraceptive.  She does not use tobacco, alcohol, or illicit drugs.  Vital signs are normal.  Scalp examination findings are shown in the exhibit.   Which of the following is the most appropriate next step for this patient's hair loss? A) Cognitive behavioral therapy B) Discontinue oral contraceptive C) Intralesional triamcinolone D) Oral griseofulvin E) Reassurance and observation F) Topical minoxidil Which of the following is the most appropriate next step for this patient's hair loss?


Definitions:

Employee Empowerment

The practice of giving employees the autonomy, resources, and skills to make decisions and contribute to the company's success.

Values-based

Decision-making or actions that are guided by personal values and ethical beliefs rather than solely by the pursuit of profit or practical outcomes.

Organizational Culture

Refers to the shared values, beliefs, and norms that influence the way employees think, feel, and behave within an organization.

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