Scabies

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Introduction

 

 

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The Case of...

A brief case (1-2 sentences) with 2-3 questions (no answers) to prompt thinking by students.

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Epidemiology

 

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Classification and Characteristics

 

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Transmission and Infection

Mites only live 24-48 hours outside the body.

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Clinical Manifesations

Always consider in anyone who is really itchy

Can find burrows if you look hard

 

Lesions are generally small.

Lesions can be locaized or widespread.

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Diagnosis

 

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Treatment

Treat all close contacts: permethrin cream, 2x treatments one week apart

lindane lotion 1% qhs; not in children

may also need treatment for dermatitis (ie cortisone)

wash linens and clothes

 

Itch persists for 1-2 weeks after treatment, so don't assume treatment failure early.

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Resources and References

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Topic Development

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