Infestations and Bites Flashcards

1
Q

Pediculosis is another name for _________

A

lice (louse or crabs)

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2
Q

What causes the itching from pediculosis?

A

allergic reaction to louse saliva

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3
Q

What are the three types of lice species?

A
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4
Q

How do you make a diagnosis of head or public lice?

A

You need viable eggs (nits) or at least a single live louse

empty nits are NOT enough

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5
Q

where do eggs typically attach?

A

close to the scalp

*in warmer climates, may not be true

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6
Q

What must an adult louse do before copulating?

A

take a blood meal

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7
Q

how do most louse treatments work?

A

toxic to louse nervous system

developing embryos may survive initial treatment, so need a second course 7-10 days later to kill newly hatched nymphs

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8
Q

What is the first-choice treatment for lice?

A

Nix - permethrin 1%

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9
Q

What’s a choice for treatment of lice in a pregnant or lactating woman?

A

benzyl alcohol - 5%

*suffocates lice

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10
Q

What are key components of environmental measures for lice?

A
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11
Q

What other diseases can body lice transmit?

A

typhus and trench fever

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12
Q

what is the causative organism of scabies?

A

The mite Sarcoptes scabiei

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13
Q

scabies lesions are usually __________ on each side of the body

A

symmetric

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14
Q

where are scabies burrows typically found?

A

hands

feet

genitals

buttocks

waistline

armpits

(typically NOT head and neck except kids and immunocomp.)

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15
Q

what is Norweigan scabies?

A

crusted scabies that usually does not have intense pruritis and there may be nail, hand, scalp involvement

extremely contagious and can be 1k mites at a time on a person

found on older, immunocompromised, homeless individuals

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16
Q

what do bed bug bites look like?

A

central hemorrhagic punctum

with leniar streak (breakfast, lunch, dinner)

17
Q

what is the hallmark of the brown recluse spider?

A

violin-shaped marking on the head

18
Q

how does the bite of a brown recluse start?

A

painless bite that becomes a transient, central vesicle or papule

19
Q

what are chiggers?

A

mites that live in tall grass

red, highly itchy papules

20
Q
A