Recent Posts

Welcome to PebbleSpot 🙂 This site has information useful for navy residents, GMO’s, and flight docs. Others may also find it helpful.

Keratosis Pilaris

Keratosis pilaris is a very common harmless skin condition appearing as small, whitish bumps on the upper arms and thighs, especially of children and young adults. Individual lesions of keratosis pilaris begin when a hair follicle becomes plugged with keratin, a protein found in skin, hair, and nails. Who’s At Risk Keratosis pilaris can affect […]

Misoprostol Only Protocol for Management of Early Pregnancy Loss

This protocol was useful when stationed in Sasebo, Japan, for managing missed abortions. The Japanese clinics did not have access to these medications and could only offer mechanical evacuation. Our clinic only had access to misoprostol (not mifepristone). Before you start this, it’s critical to know your backup plan in case of serious bleeding. Credit […]

Clomiphene (Clomid) to Induce Ovulation

Adapted (partially verbatim) from LexiComp. How to take it: 50 mg once daily for 5 days. Begin on or about the fifth day of cycle if progestin-induced bleeding is scheduled or spontaneous uterine bleeding occurs prior to therapy. Therapy may be initiated at anytime in patients with no recent uterine bleeding. Contraindications Hypersensitivity to clomiphene […]

Hamburgers and French Fries

Picky Eating

Adapted (partially verbatim) from Am Fam Physician. 2015 Aug 15;92(4):274-278. Kids don’t need as much food as you think! One way children start to show their independence is by choosing what they want to eat. You should make meal times as pleasant as possible. The amount of calories and nutrition a child needs is less […]

Eczema word cloud

Eczema Home Treatment Plan

“The itch that rashes.” Managing the symptoms at home can seem can seem daunting, but patients can take control of this condition with changes to the daily routine and a stepwise approach when symptoms worsen. Prevention (do this every day, always): Apply moisturizer twice a day. Ointment – most effective, greasy, hard to apply. Won’t […]

Skin Biopsy

Consent form, equipment list, and procedure note for incisional (partial) and excisional (complete) skin biopsies.


Consent form, equipment list, room setup, patient information, and procedure note.


Consent form, equipment list, procedure note, quick reference cards, and Reid’s index.