Pruritic Disorders Flashcards
1
Q
Scabies
general overview
A
highly contagious skin infection due to the mite Sarcoptes scabei
2
Q
Scabies
pathophys
A
- female bites burrow into the skin to lay eggs, feed, and defecate
- these particles precipitate a hypersensitivity rxn
3
Q
Scabies
clinical manifestations
3 components
A
- multiple, small, evidence papules w/ excoriations, linear burrows (hallmark)
- red, itchy happy wheels or nodules on the scrotum, genitalia, or body folds (pathognomonic)
- intense pruritis, esp at night
4
Q
Scabies
dx
2
A
- clinical
- mineral oil prep
5
Q
Scabies
tx
1
A
- topical permethrin x2 applications, 1 wk apart
6
Q
Scabies
when do you give oral permethrin?
A
can give to non-pregnant adults
7
Q
Scabies
general measures
2 components
A
- treat all close contacts
- all clothing, bedding, etc isolated for 72 hrs, then washed & dried w/ high heat
8
Q
Scabies
second line tx
A
lindane (cheaper, but NO PREG PTS or KIDS)
9
Q
Pediculosis
how is it transmitted P2P?
3
A
- direct contact
- fomite exposure
- sexual transmission
10
Q
Pediculosis
strongly related to?
A
poor hygiene practices
11
Q
Pediculosis
who is head lice more common in?
2 components
A
- girls > boys
- kids 3-12 y/o
12
Q
Pediculosis
clinical manifestations
2
A
- primary: pruritis
- may see lice or nits
13
Q
Pediculosis
describe eggs
3
A
- white
- oval shaped
- at base of hair shafts
14
Q
Pediculosis
tx of head lice
2
A
- topical permethrin x2, 1 wk apart
- fine tooth comb to remove eggs
15
Q
Pediculosis
tx of body lice
2
A
- education on hygiene practices
- topical permethrin 5% cream