Infestations and STIs Flashcards
Describe nits vs lice
What is this condition and its characteristics
Scabies
- burrowing mite under skin, eggs lain and hatched over a few days and weeks
- rxn delayed
- skin to skin or STI
- can treat with permethrin 5% cream, oral ivermectin/antihistamines
Characteristics and treatments of a black widow bite
-immediate pain
-abdominal, back, leg pain
-MSK spasms
-worsening over 24hrs, subsiding over 2-3 days
- treat with antivenin, muscle relaxants
What is this condition
Brown recluse spider bite
Characteristics and treatments for a brown recluse bite
-urticaria
-full skin necrosis
-pain 2-3hrs after bite
-only diagnosed with collection/identification of bite
-treat with tetanus, immobilization, ice, elevation, abx, surgical debridement
What is this condition
Tick bite
Etiology and treatment of a tick bite
-ixodes scapularis (black legged deer tick)
-B Burgdorferi spirochete
-rash, MSK pain stiffness, neuro problems, nerve palsy, aseptic meningitis
-treat with doxy as prophylaxis or treatment
What is this condition
bed bug bites (breakfast lunch and dinner)
treatment for bed bugs
-get rid of source
-self limiting in 1-2 weeks
-antihistamines
-cold compress
-topical corticosteroids
What is this condition
primary syphilis
-painless chancre, punched out appearance
characteristics of primary syphilis
- HIGHLY infectious
- may heal 3-6 weeks
- tests may not initially be positive
High risk groups for syphilis
MSM, sex workers, multiple partners, HIV/STIs, drug use
characteristics of secondary syphilis
- palmar/plantar rash
- may persist for months
- may have constitutional symptoms
- VERY contagious
- highest titers of serology tests
characteristics of latent syphilis
- may never be symptomatic
characteristics of tertiary syphilis
- can involve brain, nerves, eyes, heart, bones, liver, joints
- very difficult to treat