Dx – must see the lice. Seeing nits alone does NOT diagnose, and is not an excuse for the kid to be out of school.
Rx – Permethrin 1% Shampoo. Leave on 10 min, then rinse. Repeat in 1 week to kill off any hatched eggs. Wash all clothes, bedsheets, towels with hot water.
If resistant, try malathion.
Dx – burrows, scales, papules. @ groin, wrists, hands, armpits, abdomen, to name a few places.
Takes about 15-20 min of close contact to transfer the mite to someone else. Does not jump or fly.
Rx – Permethrin 5% Cream. Apply neck down. Leave on for 8-14 hrs, then wash off. Repeat in 2 weeks if needed.
If resistant, Rx oral ivermectin x1.
If crusted scabies (bad), Rx permethrin 5% cream daily x 7 days + ivermectin on days 1, 2, 8, 9, 15.
Warn patients that skin will continue to itch even after treatment, due to dead scabies remaining in skin. Rx PRN itching with benadryl or hydroxyzine.
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My name is Benji Ho and I am a family physician and 2013 graduate of the American University of the Caribbean School of Medicine (AUC), located on the Dutch side of the beautiful island of St. Maarten. My time at AUC has been quite a worldwide adventure, studying two years of Basic Sciences on the island, then completing my clinical rotations in the US as well as the UK. I completed my family medicine residency at Mercer University School of Medicine / Navicent Health in Macon, Georgia. Today, I am a board-certified family physician practicing outpatient family medicine in Macon, Georgia. I hope you enjoy my site as I share with you my journey. Thanks for visiting Diary of a Caribbean Med Student!
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