Introduction of the topic

Chief complaints & a detailed History (include medical, onset, grading/severity,

any Rx taken in the past)
Leading/Probing questions and associated conditions
Diagnosis discussion (key points)
Treatment Plan with medication/product options. Medicines/Product related
discussion - instructions with mode of action & duration of use.
Expectation settings / Prognosis - explain
Lifestyle (current & modification) + Personal History +Habits + Hair/skin care
routine etc (Dos & Don't)
Follow up discussion (Monthly

List down Key points for AGA. Mention medical management grade wise.

Androgenetic alopecia (AGA) is a common type of baldness characterized by progressive

hair loss, often seen in men and women.
This multifactorial disorder is caused by interactions between genes and environmental
factors, affecting the growth cycle of hair follicles.
AGA is characterized by stepwise miniaturization of hair follicles, leading to vellus
transformation. AGA is associated with chronic diseases, thyroid disorders, and medical
conditions in the last 6 months.
Hair loss triggers include medications, diet, gym supplements, anemia, and biotin.
History taking should include hairloss and thinning area, allergies, chronic illnesses, smoking,
alcohol consumption, stress, allergies, past family history and images.

Medical management:
Stage1: Hair gummies+Anti Hair fall shampoo+Advanced hair growth serum (BD)+Daily
health booster
Stage 2: Hair gummies+Anti Hair fall shampoo+5% Minoxidil +procapil (BD)+Oral Minoxidil
2.5 mg (OD) in the morning+Derma roller+Daily health booster
Stage 3: Hair gummies+Anti Hairfall shampoo+5% Minoxidil +0.1%Finasteride (BD)+Oral
Minoxidil 2.5 mg (OD) in the morning+Derma roller+Daily health booster
Stage 4: Hair gummies+Anti Hairfall shampoo+10% Minoxidil +0.1%Finasteride (OD)+Oral
Minoxidil 2.5 mg (OD) in the morning+Derma roller+Daily health booster
Lifestyle Modification:
A healthy diet rich in proteins, biotins, zinc, and B vitamins is recommended. \Lycopene-rich
foods like tomatoes, watermelons, carrots, and mangoes block DHT production. Biotin-rich
foods like berries, liver, legumes, oily fish, and bananas condition the skin and scalp.
Maintain good hydration, exercise 30 to 45 minutes a week, get 7 to 8 hours of sleep,
engage in stress-relieving activities, and quit smoking.

Follow up required post 1 month, 3rd, 6th, 9th and 12th Month.
List down key points for Dandruff. Mention medical management grade
Introduction:
Dandruff is a scalp condition causing flakes of dead skin cells, itching, and scales.
It is a mild form of seborrheic dermatitis, more common in teenage to midlife.
It is not contagious but can be embarrassing.
Dandruff is restricted to the scalp and does not directly cause hair loss, but frequent scalp
scratching may cause temporary hair loss.

Key Points:
Take detailed history about onset and triggering factors and shift to video call or collect
images ask for hair care routine, past medical history, family history as it is auto immune
disease rule presence of any other conditions like AGA. Also check for pollution exposure
and physical activity.

Medical management:
Moderate (Grade) 10 to 30% scalp involved, no itching.
Antidandruff shampoo (1% Keto twice a week) for 1st month
Once a week for 2nd month
MM scalp massager
Biotin gummies for overall hair health.
Severe (Grade) 30% scalp involved with itching, flakes, scaling and erythema present
If scaling scaling present (2% Keto thrice a week) +dandruff removal lotion thrice a week for
6 weeks, then twice a week for one month and once a week for one month.
If scaling absent Keto power lotion overnight +2%keto power shampoo next day morning
wash thrice a week for 6 weeks then twice a week for one month and once a week for one
month. For seasonal dandruff smart shampooing has to be advised.
Biotin gummies for overall hair health.

Lifestyle modifications along with HAIR CARE routine:

Maintaining a healthy scalp and hair involves wearing protective clothing, washing after
sweating, and eating a balanced diet. Shampooing frequently and avoiding oiling hair can
help loosen flakes. Limiting hair styling products can also help prevent dandruff. Basic hair
hygiene includes washing brushes and pillow covers, using lukewarm water when washing,
and avoiding harsh chemicals and frequent treatments. Wearing a helmet while riding a bike
is also important. These changes can help prevent dandruff and improve overall hair health.
A healthy diet rich in proteins, biotins, zinc, and B vitamins is recommended.

Beard medical management

Introduction:
Beard loss can be caused by medical reasons, natural shedding, hormonal anomalies, stress,
genetic predisposition, or poor nutrition. Natural beard growth cycles, poor nutrition,
aggressive dieting, and chronic stress can contribute to this condition.

Key Points:
Take detailed history about onset and triggering factors and shift to video call or collect
images ask for skin care routine, past medical history, family history, rule out presence of
any other conditions like AGA. Also check for pollution exposure and physical activity.

Medical management:
If acne and dandruff issues:
Dry/sensitive and Oily/combination skin: beard gummies+ Oral Minoxidil 2.5mg OD for 6
months then alternate days for a month+face wash.

If no local issues
Dry/sensitive skin: Beard gummies+ Oral Minoxidil 2.5mg OD for 6 months then alternate
days for a month+TM Beardmax+Derma roller.

Oily/combination skin: Beard gummies+ Oral Minoxidil 2.5mg OD for 6 months then
alternate days for a month+TM Beardmax+face wash

Lifestyle modifications along with BEARD CARE routine:

To boost beard growth, follow a healthy lifestyle with proper diet, exercise, and sleep. Avoid
stress, alcohol, and smoking, as they can lower testosterone levels and reduce blood flow to
hair follicles. Brush daily to distribute beard oil evenly, but avoid aggressive brushing or
excessive washing. The healthiest beard is a 3-day beard, with a few weekly washings. Avoid
using heat tools or blow-drying. Shaving is not a significant factor in beard growth, and
excessive use can cause skin irritation.

Introduction (ACNE)
Acne vulgaris is a skin condition causing polymorph cutaneous lesions, including comedones,
papules, cysts, pustules, and abscesses. It affects people of all ages, but is most common in
teenagers. Androgens, the most important hormones regulating sebum production, are
responsible for acne.

Key Points:
Lesions are most common on the face, neck, chest, back, shoulders, and upper arms. Acne
can cause permanent scarring, poor self-image, depression, and anxiety. To maintain
healthy skin, treat acne early and follow a consistent skincare regimen with anti-acne
treatment.
Take detailed history about onset and triggering factors and shift to video call or collect
images ask for skin care routine, past medical history, family history, rule out presence of
any other conditions like dandruff. Also check for pollution exposure and physical activity.

Medical management(AACNE):
Grade1: oil/combination skin
AHA BHA face wash BD

Acne spot correction gel once at night

Moisturizer

sunscreen

Dry/sensitive skin

Episoft cleansing lotion BD

REJUV Niacinamide serum BD

moisturizer

sunscreen

GRADE 2:oil /combination skin

AHA BHA face wash BD

Adapelene and BPO gel once at night time.

Moisturizer

sunscreen

Dry/sensitive skin

Episoft cleansing lotion BD

Clindamycin

moisturizer

sunscreen

GRADE3 :SAME treatment as grade 2

Lifestyle & Diet modifications:
Daily fluid intake, hydration, avoiding high-glycemic index foods, consuming fruits,
vegetables, whole grains, and protein, quality sleep, exercise, and avoiding anabolic steroid
supplements are essential for acne prevention.

Introduction (HP):
Facial pigmentation, also known as Melanosis, is a common issue in Indian patients, causing
cosmetic disfigurement and psychological impact.
Key Points:
Causes include Melasma, Riehl's melanosis, and Lichen planus pigmentosus. Melasma is a
brown-black pigmentation disorder, with types including centrofacial, malar, and
mandibular. It is more common in women, but malar type is more common in men. Causes
include UVR and visible light, genetic predisposition, thyroid disease, and anticonvulsants
like PHENYTOIN and NSAIDS. Melasma is more common in women than men.
Take detailed history about onset and triggering factors and shift to video call or collect
images ask for skin care routine, past medical history, family history, rule out presence of
any other conditions. Also check for pollution exposure and physical activity.

Medical management:
Treat only mild cases

30% area involved and small patches less than 1.5cm diameter

Face wash+REJUV Niacinamide serum BD+Moisturizer+sunscreen

Lifestyle modifications along with Skin care routine:
Skin care involves photoprotection, avoiding peak sunlight hours, using sunshades, and
applying sunscreen with a minimum SPF 30 every 3-4 hours. Avoid cosmetics, creams,
makeup, and parlor activities. Consistent use and treatment for dark spots for 2-4 months is
recommended. Lifestyle modifications include daily fluid intake, hydration, consuming fruits,
vegetables, whole grains, and protein, and quality sleep and exercise.

Make a hypothetical case and list down key points to be covered in your consult
including a detailed history taking and appropriate medical management

Case:

A 25year old male presented with hair loss associated with gradual hair thinning and bald
patches over the scalp.

Key Points:
Took the detailed history about onset and triggering factors including past medical history
and family history.
Collected images and asked for skin care routine.
Checked for pollution exposure and physical activity.
 Patient has noticed this from past 6 months
  No Family history
 History of weight loss regime (deficit of essential nutrients)

Medical Management

AGA Grade3 with beard issues

OM 2.5mg OD

TM 5% BD

Hair gummies

Anti hair fall shampoo

Lifestyle Modification and Follow up:

A healthy diet rich in proteins, biotins, zinc, and B vitamins is recommended. \Lycopene-rich
foods like tomatoes, watermelons, carrots, and mangoes block DHT production. Biotin-rich
foods like berries, liver, legumes, oily fish, and bananas condition the skin and scalp.
Maintain good hydration, exercise 30 to 45 minutes a week, get 7 to 8 hours of sleep,
engage in stress-relieving activities, and quit smoking.

Follow up required post 1 month, 3rd, 6th, 9th and 12th Month.