My Music ParadiseLet the music spice up our lives

Went back to my pre-reg store today, nothing exciting happened .

There were not many queries for me today because the counter staff was quite good. But I had a boy showing me several round scaly patch on his body, above the chest and at the back near the shoulders. There were several round patches, individual ones, not joined together, but I could easily see 5 or more. They were the size of 5 penny or smaller. But they all got very obvious  edge, and its scaly not smooth, not itchy either. Well, one thing for sure it wasnt on the scalp or the groin area, so I gave him canestan 1%. I think is is ring worm. However, I have not seen many individual ones, it just made me wonder if it could be something else. Definately not pox too. I hope I was right, i know the antifungal cream wouldnt harm him. But I have also told the mom if the cream doesn’t help, go to the doctor.

Another query was from a staff, she is on warfarin, anti-hypertensive, glaucoma meds, and wanted travel sickness tablets. I know most of them will not be suitable ie the hyoscine hydrobromide or cinnarizine, due to the antimuscarinic effects. Bnf did say cautious with hypertension, angle closure glaucoma etc. Besides the motion sickness band, I would refer. What would you do?