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Otc > Infestations > Flashcards

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

A

8 weeks

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
Q

Headlice symptoms

A

Itching
Nits
Feeling them on head

26
Q

Treatment of headlice

A

Dimeticone (Hedrin)
Isopropyl alcohol and isopropyl myristate

Permethrin (Lyclear)
Malathion (Derbac M)

Wet combing

27
Q

Dimeticone lotion directions

A

Leave on head for 8 hours overnight

Repeat after 7 days

28
Q

Dimeticone (Hedrin) age restrictions

A

Over 6 months

29
Q

Isopropyl alcohol & isopropyl myristate age restrictions

A

2 years and above

30
Q

Isopropyl alcohol & isopropyl myristate directions

A

Single treatment on one day
Repeat only if lice comes back

31
Q

Avoid permethrin (Lyclear) in patients with …..

A

Asthma
Eczema

32
Q

Wet combing directions

A

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
Q

Headlice counselling

A

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

Otc (6 decks)

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