infestations

Question 1

what infests interdigital web spaces

Answer 1

scabies

Question 2

who gets crusted or Norwegian scabies

Answer 2

immunocomprimised

Question 3

diagnos scabies– tx

Answer 3

mineral oil or koh – microscope– permatrhin 5 % or ivermecton or “Stomectol”– 18 MG once PO

Question 4

what casues cutaneous Larva Migrans and Sx– tx

Answer 4

Anclostoma Brazilience – creeping crvilinear slightly aised red lesion– itchy. TX s Thiabendazole or medenzole

Question 5

tx for hymenoptera stings

Answer 5

topical anethetics, camphor or mentol formulations

Question 6

black widow venom

Answer 6

alpha latrotoxin, depolairs neurons, causing Ca+ to release – stimulates releasse of lts of neurotransmitters. TX isn benzodiazipines, IV calcium, antivenin.. Mimics acute abd px and may include rhabdomyolisis

Question 7

Brown reclude venom

Answer 7

spingomyelinase D– hyaluronidase– allows necrosis it spread. Looks like dusksy center with necrosis. Sx include shock , hemolysysi, DIC
TX. rest ice, tetansu toxoid and antivenin

Question 8

extracutanuos features of lyme

Answer 8

malasie, fever, regional LAD, dry cough , conjuctivivis, stiff neck, NA, VO

Question 9

diagnisis and tx of lyme

Answer 9

clinicla finding of erythma migrans most sensitive of early infection – screening test ELISA
TX is Doxy— 100 Mg BID for 3 weeks

Question 10

What casues Rocky Mountain spotterd fever

Answer 10

Ricketssia rickettsii

Question 11

S Sx if RMSF

Answer 11

fever inniatially, severe HA, ABD px, NA, VO,– then edema, hyptension , hypvolemia. Rash appears 3-6 days as macules around wrist and ankles then spreads to trunk . Maculopapalar lesions on palsm adn soles.– clinical diagnosis