spreading ulcerated wound at bite site Hobo spider Moderate to severe, slow- healing wound Head Lice -most common -Live on scalp, lay eggs or nits - Must feed within 24 hours once hatched -Nits and nit casings can be seen at base of hair shaft (within 4mm of scalp) and are gray in color -Cycle repeats every 3 weeks if no treatment -Adult lice are moving so they are hard to locate -Nits cannot survive more than 48 hours without a host (0.5 inch from scalp is too far to thrive) -Itching=most common symptom Caused by saliva and feces of nits Immediate wheal formed around bite Papule within 34 hours Itching scratching possible secondary infection -Transmission Close contact, sharing personal items EVERYONE is affected -Common in ages 3-12 in daycare and schools (Aug-Nov = peak) -Part hair for physical inspection -Inspect crown of head, near ears base of neck **do not treat body lice OTC= why it is not listed Insect/Arachnid Location How it acts and what it looks like Presentation Complications Other information Pubic lice -Found in public area Transmission
“Crabs” due to crab like appearance -Nits and nit casings can be seen at base of hair shaft (within 4mm of scalp) and are gray in color May also infest Eyelashes Armpits Beards Eyebrows High risk sexual encounters Public toilet seats Shared undergarments Bedding Insect Bites Exclusion to self-treatment Non- pharmacological treatment Pharmacologic treatment Follow-up monitoring Product selection General treatment approach Prevention Treatment goals -Relieve -Age <2 years -Signs of secondary -Apply ice pack promptly to bite area to reduce symptoms -Topical analgesic - Topical (local) anesthetic First line treatment -Reevaluate in 7 days -When to seek medical attention: -Topical anesthetic can cause sensitization it contact dermatitis -If confined to the bite site self- treatment is -Avoid insects Avoid swamps and dense
symptoms such as swelling, pain and itching -Prevent scratching that may lead to secondary bacterial infection -Prevent future bites infection -Hypersensitivity to insect bites -Symptoms away from bite site -Tick bites -Spider bites -Scabies 10 minutes on, 10 minuted off -Avoid scratching the affected area Keep fingernails trimmed -Do not wear rough, irritating clothing over bite area -If allergic to anesthetic -Counterirritant -Topical antihistamine -Skin protectant -Hydrocortisone -Apply 3-4 times per day for no more than 7 days Symptoms worked during treatment Secondary infection develops. (Fever, joint, lymph node enlargement) -Symptoms persist after 7 days of topical treatment Lowest side effect potential: pramozine and benzyl alcohol Highest side effect potential: phenol and dibucaine appropriate.
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- Spring '14
- Head louse, Allergy, Pediculosis, Body louse, Louse