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PediculosisCapi.s

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PediculosisCapi.s

(Headlice)

Liceinfec.ontransmi8edbydirectcontactwithinfectedpersonsorindirectcontactwithcontaminatedobjects

Licecanliveonahumanhostconsumingscalpbloodandlayeggs Licecanliveoffofhumanfor4hourswithoutblood

Nits(eggs)capableofhatchingfor10days

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ClinicalManifesta.ons

NitsarevisibleonhairshaGsclosetoscalp

usuallybehindears

andatnapeofneck,difficulttoremove

Oncehatchcrawlingcausesintensepruri.s

(itchyscalp)

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Management-threegoals

1. Killtheac,veliceusingpediculicideOTCproducts(Kwell,Nix,Rid)

Kwellisneurotoxicforinfants RIDissafeandeffec.ve,musttreathairagain1

to2weeksaGerini.altreatment

NIXkillsheadliceandeggswith1treatment,mayhaveresidualac.vityfor10days

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Management-threegoals

2.Removenits Inspectchildshairwithfine-toothedcomb

Combnitsoutwhenhairiswet(applyvinegarwatermixturepriortocombing)

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Management-threegoals

3. Preventspreadorrecurrence Treatenvironmentalobjects Examineandtreatfamilymembers

Vacuumcarpets Checkchildforreinfesta.on7to10daysaGer

treatment

Washallbedding,hatsinhotwaterandhighdryerse\ng

No.fyschoolifreoccurs

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Scabies

Miteinfec.on-burrowunderskin Spreadbyskintoskincontact Femalemiteburrowsunderskinandlaysegg Hatchin3-5daysandcausesevereintenseitching Secondaryinfec.ons(impe.go,celluli.s)common

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ClinicalManifesta.ons

Intense,severepruri.sespatnight

Papular-vesicluarrashmainlyinwrists,fingers,

elbows,axillaandgroin

Mayseeafaintburrowpa8ern

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Management

Elimite-prescrip.on Applica.onappliesnecktotoeandmustremainonfor-12hours

Familymembersevenifasymptoma.candday.mecontactsshouldbetreated

Washallbedding,clothinginhotwatersimilartothatforpediculosis

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Tinea

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CommonTypesofTineaInfec.on

Tineacapi.s(scalp) Tineacruris(groin,bu8ocks,andscrotum)Tineacorporis(trunk,face,extremi.es)

Tineapedis(feet)

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TineaCapi.s

Erythemapapularrashofscalp

Patchesofalopecia Treatedwithtopicalandoralan.fungals

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TineaCorporis

Singlecircular1scalyplaques

Erythematopalepink/white

Topicalan.fungals,con.nuetotreatoneweekaGerrashgone

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TineaCruis

Warmmoistenvironmentpromotesfungalgrowth

Commoninadolescentmale

Topicalan.fungal Looseclothing

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TineaPedis

Sweatyfeetpromotesgrowth

Barefootincommonwetareas(pools,lockeroom)

Topicalan.fungal Freshsocks,tossoldshoes

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NursingConsidera.ons

AllTineaInfec.ons

Allmembersofthefamilyandhouseholdpetsshouldbeassessedforfungallesions

Person-to-persontransmissioniscause Treatallasymptoma.cfamilymembersforrecurrence oodhygienehelpsinpreven.on Dontsharetowels,clothing,hats,etc

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Pinworms

Intes.nalworms-liveinrectumofhumans

Femalewormsleaverectumatnighttolayeggsonsurroundingskin

Eggscansurviveinbeddingandclothingfor2weeks

Spreadbyinges.ngeggsMedicineskillworms-curable