Question: Hi. My Dad is 79-years-old and suffers from Parkinson's Disease and deep vein thrombosis among other maladies. About 2 weeks ago, my Mom, who dries him off and dresses him after he showers, notice two rounded areas of irritation that appeared in the shoulder blade area on his back on both the right and left side. The spots are about 1.5 inches in circumference. They do not itch but are irritations and itch occasionally. They have developed a crusty feeling to touch - especially about the outside edges. Do you have any impressions of what this might be and what the best course of action would be to take. We are unsure to apply an antibiotic cream or possibly just a lotion with vitamin E. What do you think?
Images attached.


Medication list following:
XXXXXXX BRENEK MEDICATIONS
APRIL 2017

1. Carbidopa/levodopa 25/100 ng 1-1/2 tablets at meals. VANDERZANT
2. Omeprazole 20 mg 1 in the morning and 1 at lunch. PETERSON
3. Citalopram 10 mg 1 tablet daily. PETERSON
4. Metoprolol 50 mg 1 in the morning and 1 in evening. PETERSON
5. Warfarin 7.5 mg – TAKE AS DIRECTED. PETERSON
6. Gabapentin 300 mg 1 tablet at bedtime. PETERSON
7. Tramadol 50 mg 1 tablet every 6 hours – TAKE AS NEED PETERSON
8. Namenda XR 28 mg 1 at bedtime. VANDERZANT
9. Lactulose 10 g/15 mL at bedtime. PETERSON
10. Cephalexin 250 mg 1 tablet daily. XXXXXXX
11. Furosemide 40 mg 1 in AM and 1 at lunch. BLANC
12. Oxybutynin 10 mg 1 tablet daily. XXXXXXX
13. Voltaren – AS NEEDED. PETERSON
14. Vitamin E 1 in AM. PETERSON
15. Baby aspirin 81 mg 1 tablet daily. PETERSON