Infestations Flashcards

1
Q

Whats a threadworm and symptoms

A

White thread like worms in faeces
Extreme anus/vagina itching, worse at night
Wetting the bed, weight loss

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2
Q

Causes of threadworms

A

Eggs laid around the anus
Spread via faecal oral transmission- under nails from scratching bottom

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3
Q

Threadworms referral

A

Under 2yrs
Pregnant/breastfeeding
Recent travel abroad
Failed OTC treatment
Yellow/weeping discharge from the anus

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4
Q

A patient presents to you with threadworms but also has yellow weeping discharge from the anus

What could this be?
What would u do?

A

Secondary bacterial infection due to scratching/broken skin

Refer- its a red flag

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5
Q

Threadworms treatment

A

Mebendazole (ovex)

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6
Q

Mebendazole (ovex) age restriction

A

2 years and above

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7
Q

Mebendazole dose and counselling

A

Single dose
Repeat after 14 days if reinfection is suspected

Treat all house members at the same time

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8
Q

Mebendazole cautionary and advisory labels

A

Tablets can be chewed, crushed or swallow whole

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9
Q

Mebendazole medicine interaction

A

Cimetidine- avoid

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10
Q

Threadworms counselling

A

Keep fingernails short and wash hands regularly
Treat all household members at the same time
Hygiene- sheets, towels wash at normal temp
Wear underwear at night and change in the morning

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11
Q

Whats scabies

A

Scabies Burrow beneath the skin surface

(Small thread like grey lines in the webs of fingers/toes)

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12
Q

Scabies symptoms

A

Intense itching (pruritis) worse at night
Rash occurs anywhere but often starts between fingers
Once rash has spread it turns into tiny spots

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13
Q

Hows scabies passed

A

Skin contact
Not changing bed sheets, towels or clothes or sharing

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14
Q

Can you get scabies from pets

A

No

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15
Q

Scabies referral

A

Babies and children
Secondary infection of skin (yellow, weeping, crusting)
Treatment failure/itching present after 4 weeks

Unclear diagnosis - refer in doubt

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16
Q

Scabies treatment

A

Premethrin cream (Lyclear)

Malathion (Derbac-M)

17
Q

Permethrin cream (Lyclear) age restriction

A

2yrs and above

18
Q

Permethrin cream (Lyclear) dose

A

Leave cream on for 8-12 hours then wash it off
Repeat treatment after 7 days

19
Q

Malathion (Derbac -M) age restrictions

A

6 months and above

20
Q

Malathion (Derbac-M) dose

A

Apply treatment should be applied the whole body from the chin and ear downwards

Leave lotion on for 24hrs then wash off

Repeat treatment after 7 days

21
Q

Scabies counselling

A

All household members should be treated at the same time

Wash bedsheets and clothes at temperature above 50 degrees. If cant be washed put into a sealed bag for 3 days until mites die

Itch will continue for 2-3 weeks after treatment (can use eurax cream)

Avoid close contact with other people

22
Q

People with scabies may not show symptoms until upto ……. Weeks after infestation

23
Q

Headlice red flags

A

Pregnant or breast feeding (except use of Hedrin)

24
Q

Whats headlice

A

Small insects on human heads

25
Headlice symptoms
Itching Nits Feeling them on head
26
Treatment of headlice
Dimeticone (Hedrin) Isopropyl alcohol and isopropyl myristate Permethrin (Lyclear) Malathion (Derbac M) Wet combing
27
Dimeticone lotion directions
Leave on head for 8 hours overnight Repeat after 7 days
28
Dimeticone (Hedrin) age restrictions
Over 6 months
29
Isopropyl alcohol & isopropyl myristate age restrictions
2 years and above
30
Isopropyl alcohol & isopropyl myristate directions
Single treatment on one day Repeat only if lice comes back
31
Avoid permethrin (Lyclear) in patients with …..
Asthma Eczema
32
Wet combing directions
Wet shampoo and comb and then rinse and dry. Let hair dry naturally Repeat every 4 days for 2 weeks until no head lice for 3 consecutive days
33
Headlice counselling
Only treat those affected Children can go to school as normal The same insecticide shouldnt be used for the next reinfestation Avoid application of insecticide for more than 3 consecutive weeks