Responding to symptoms

Question 1

Symptoms of Scabies

Answer 1

Intense itching (esp at night)

Pimple like rash

Sores

Thick crusts on skin

Small thread like grey lines

Question 2

If a patient is diagnosed with scabies when does itching start?

Answer 2

First time having scabies= <1-4 days

Had it before = 2-6 weeks

Question 3

Scabies treatment

Answer 3

1st line= Permethrin cream (lyclear) +2yrs

• wash off after 8-12 hours
• reapply after 7 days

2nd line= Malathion +6 months

• wash off after 24 hours
• reapply after 7 days

Question 4

Referral criteria for scabies

Answer 4

Infection

Treatment failure

Babies and children

Question 5

What is scabies?

Answer 5

Caused by mites

VERY contagious - skin to skin contact

Question 6

Symptoms of Impetigo

Answer 6

Itching
Blisters that form into crusts
Mainly around mouth

Question 7

What are the 2 types of Impetigo?

Answer 7

Bullous

• Painful & itchy
• Fluid filled vesicles which rupture and form yellow brown crusts
• Fever and swollen lymph nodes

Non-Bullous
- Starts with red sores around nose and mouth then develops into blisters and bursts forming golden crusts

Question 8

What is the treatment for Localized non-bullous impetigo who are systemically well or not at high risk of complication?

Answer 8

Hydrogen peroxide 1% cream-
(2-3 times a day for 5 days)

Unsuitable= Topical antibacterial

Question 9

What is the treatment for Widespread non-bullous impetigo who are systemically well or not at high risk of complication?

Answer 9

Topical or oral antibacterial

Question 10

What is the treatment for patients with bullous impetigo or non-bullous impetigo who are systemically unwell or at high risk of complications ?

Answer 10

Oral antibacterial

Question 11

Which oral antibacterials are used for severe or widespread impetigo?

Answer 11

1st line= Flucloxacillin

Alternative= Clarithromycin

Pregnancy= Erythromycin

Question 12

Which topical antibacterial are used for impetigo?

Answer 12

Fusidic acid 1% cream
(TDS for 5 days)

Mupirocin 2% ointment
(TDS for 5 days)

Question 13

What advice should be given to patients diagnosed with Impetigo

Answer 13

Stay away from school until rash clears

Do not share items

Cut nails

Question 14

Which bacteria is responsible for Impetigo?

Answer 14

Group A streptococcus

Staphylococcus aureus

Question 15

Which organism is responsible for chicken pox?

Answer 15

Varicella zoster virus

Question 16

What is chicken pox?

Answer 16

A viral infection

Highly contagious for 1-2 days before spots appear.

Question 17

Can you catch shingles from someone with chicken pox?

Answer 17

NO but you can catch chicken pox from someone with shingles if you haven’t had chicken pox before.

Question 18

Symptoms of chicken pox

Answer 18

Itchy red spots- fluid filled
Fever
Aches & pains

Question 19

Who in particular should take extra caution with people who have chicken pox?

Answer 19

Pregnant women
Immunocompromised
Those on corticosteroids

Question 20

What is the best way to prevent chicken pox?

Answer 20

Chicken pox vaccine

Question 21

Chicken pox treatment

Answer 21

Drink plenty of fluid
Paracetamol
Antihistamines 
Calamine lotion
Colloidal oatmeal baths

Question 22

How long should you stay away from school/ work if you have chicken pox?

Answer 22

Until all the spots/ blisters have crusted over

Question 23

What is Fifth disease also known as?

Answer 23

Slapped cheek syndrome

Question 24

Symptoms of Fifth disease

Answer 24

Bright red rash on cheeks

Raised spotty rash may appear on chest, legs and arms

Cold like symptoms (most contagious period)

Adults may experience joint pain and stiffness

Question 25

When is it the most contagious period in Fifth disease?

Answer 25

When you experience cold like symptoms

Question 26

When does fifth disease stop being contagious?

Answer 26

Once rash appears

Question 27

Fifth disease treatment

Answer 27

Fluids
Painkillers
Antihistamine

Question 28

Which patient groups with Fifth disease should be referred?

Answer 28

Pregnant
Patients with blood disorders
Immunocompromised
Symptoms of severe anemia