Insect Disorders and Ulcers

Question 1

Pediculosis capitis

Answer 1

Severe itching of the scalp

Multiple white flakes that are firmly attached

Prominent at base of hair shaft

Aka Lice

Question 2

Pediculosis capitis

Treatment

Answer 2

1. OTC RID shampoo
2. Lindane lotion or shampoo
3. Nit comb

Must also treat close family

Question 3

Scabies

Answer 3

Multiple punctuate areas

Burrowing

Itching more at night (wakes you up)

Question 4

Scabies

Pathognomonic

Answer 4

Skin scraping positive for microscopic ova

Spread skin to skin

Question 5

Scabies treatment

Answer 5

1. Permethrin cream
2. Wash clothing and bedding
3. Oral antihistamine
4. Topical corticosteroid
5. Treat people in close contact with patient

Question 6

Stasis ulcer

Answer 6

Occurs suddenly, even following minor trauma

Usually not infected

Question 7

stasis ulcer treatment

Answer 7

1. elevation, compression
2. treat surrounding stasis
3. duodenum dressing
4. Una boots
5. PRN culture and ABX

Question 8

decubitus ulcer

Answer 8

found in areas of constant pressure (bed sore)

infected with mixed bowel flora

Question 9

decubitus ulcer treatment

Answer 9

1. relieve pressure
2. debridement
3. duodenum dressing
4. culture/Abx

Question 10

stage 4 decubitus ulcer

Answer 10

has reached the bone

low chance for recovery