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159 Cards in this Set

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ACNE VULGARIS:
blockage of follic canal
S/S: open/closed comedones (black and white heads)

TREAT: soap, retin-a, benz perox, clindamycin

oral: anti botics (doxy, clindo)
(ACUTANE)
COMPLICATIONS of ACNE:
scaring
FOLLICULITIS:
staphlococal (most common, gram stain cocci)
chemical
injury

S/S: inflamed papule hair

TREAT:soap, anti-botic
can form a cyst
PSB
beard growth (definitive)

BUPERSINST 1000.22
CARBUNCLE (Several)
Furuncle (one)
can rputer into ulcer w/ erythematous HALO

I&D: warm compress/doxloxicllin
PARONYCHIA
pseudomona/candida albicans

hang nail/cuticle

I/D, antibotics
Malignant Melanoma
not as common as basal/squamous

can cause death

sun exposure
FELON:
fascial phalanx infection (finger pads)

anit-botic
tenosynovitis
EMERGENCY...needs a surgen
infections of tendon sheath
can be from bites
What are the characteristics of a macule?
- Flat spot
- Up to 1.0 cm
What are the characteristics of a patch?
- Flat spot
- > 1.0 cm
What are the characteristics of a papule?
- Elevated solid mass
- Up to 1.0 cm
What are the characteristics of a plaque?
- Elevated superficial lesion
- > 1.0 cm
What are the characteristics of a nodule?
- Marble like lesion
- > .5 cm
What are the characteristics of a wheal?
- Irregular, relatively transient, superficial area of localized skin edema
What are the characteristics of a vesicle?
- Elevated serous fluid filled mass
- Up to .5 cm
What are the characteristics of a bulla?
- Elevated serous fluid filled mass
- > 1.0 cm
What are the characteristics of a pustule?
- Elevated pus fluid filled mass
What are the different types of bacterial infections?
- “CHIP CAF”
- Carbuncle / Furuncle
- Hand / Foot Infections
- Impetigo
- Pseudofolliculitis Barbae
- Cellulitis
- Acne Vulgaris
- Folliculitis
What are the signs and symptoms of acne vulgaris?
- OPEN COMEDONES; BLACKHEADS
- CLOSED COMEDONES; WHITEHEADS
- INFLAMATORY PAPULES, PUSTULES, AND NODULES
- OPEN SCAR FORMATION
What topical agents can be prescribed to treat a patient with acne vulgaris?
- “R.B.C.”
- RETIN-A
- BENZOYL PEROXIDE
- CLINDAMYCIN 1%
What topical agents can be prescribed to treat a patient with acne vulgaris?
- “R.B.C.”
- RETIN-A
- BENZOYL PEROXIDE
- CLINDAMYCIN 1%
What oral antibiotics can be prescribed to treat a patient with acne vulgaris?
- “True Story, Derm Meds Cure Everything”
- TETRACYCLINE
- SEPTRA
- DOXYCYCLINE
- MINOCYCLINE
- CLINDAMYCIN
- ERYTHROMYCIN
What oral antibiotics must be prescribed by a Dermatologist to treat a patient with acne vulgaris?
- “P.A.”
- PREDNISONE
- ACUTANE
What are the complications associated with acne vulgaris?
- SCARING
- PSYCHOLOGICAL EFFECTS
- FOLLICULITIS
- KELOIDS
What is the etiology of folliculitis?
- INFECTION
- CHEMICAL IRRITATION
- PHYSICAL INJURY
What are the signs and symptoms of acne folliculitis?
- ITCHING, BURNING, PAIN
- SUPERFICIAL PUSTULES OR INFLAMMATORY PAPULES SURROUNDING THE HAIR FOLLICLES
- MAY OCCUR SINGULARLY OR IN GROUPS ON ANY BODY SURFACE.
What is the treatment for a patient with folliculitis?
- REMOVE / AVOID IRRITANTS
- ANTIBACTERIAL SOAP
- TOPICAL ANTIBIOTICS
- SYSTEMIC ANTIBIOTICS;
o “KED”
o KEFLEX
o E-MYCIN
o DICLOXICILLIN
What are the complications associated with folliculitis?
- Abscess
What is the etiology of pseudofolliculitis barbae (PFB)?
- RECURVANT/INGROWN HAIR
- IMPROPER SHAVING TECHNIQUES
- MORE PREVALENT IN BLACK MALES
What are the signs and symptoms of PFB?
- PAIN
- PRURITIS
- PAPULES / PUSTULES LOCATED AT THE SIDE OF HAIR FOLLICLES
What is the definitive treatment for a patient with PFB?
- BEARD GROWTH
What instruction provides guidance for the proper treatment, complications and disposition of a PT with PFB?
- BUPERSINST 1000.22
What is a deep seated infection which involves the entire hair follicle and adjacent tissue?
- Carbuncle
- Furuncle
What are the signs and symptoms of carbuncles / furuncles?
- PAIN AND SWELLING
- HARD NODULES ENLARGE THEN FLUCTUATE
- MAY SPONTANEOUSLY OPEN AFTER A FEW DAYS
o RUPTURES INTO AN ULCER WITH ERYTHEMATOUS HALO
What is the difference between a carbuncle and furuncle?
- FURUNCLE; SINGULAR NODULE
- CARBUNCLES; MULTIPLE URUNCLES AND MAY HAVE MULTIPLE DRAINAGE SITES
What is the treatment for a patient with a carbuncle / furuncle?
- WARM COMPRESSES
- INCISION AND DRAINAGE (I&D)
- SYSTEMIC ANTIBIOTICS
o “KED”
o KEFLEX
o DICLOXICILLIN
o ERYTHROMYCIN
What are the complications associated with carbuncles / furuncles?
- REPEATED INFECTIONS
- SYSTEMIC INFECTION
What is the etiology of hand & foot infections?
- BREAK IN THE SKIN OR CHRONIC IRRITATION
What are the common hand & foot infections?
- PARONYCHIA
- FELON
- TENOSYNOVITIS
What is caused when bacteria enters through a break in the epidermis resulting from a hangnail, trauma, or chronic irritation such as excessive exposure to water and detergents?
- PARONYCHIA
What are the signs and symptoms of paronychia?
- INFLAMMATION OF THE PERIUNGAL TISSUE (CUTICLE)
- INFECTION MAY FOLLOW THE NAIL MARGIN
What is the treatment for a patient with paronychia?
- HOT COMPRESSES OR SOAKS
- SYSTEMIC ANTIBIOTICS
- DRAIN ACCUMULATED DEBRIS TO RELIEVE PAIN
- TRY TO KEEP HANDS DRY
What is an infection between the facial planes at the terminal phalanx of the finger (finger pads)?
- FELON
What are the signs and symptoms of a felon?
- SEVERE PAIN
- LOCALIZED TENDERNESS
- SWELLING AND DUSKY REDNESS
What is the treatment for a patient with a felon?
- HOT COMPRESSES OR SOAKS
- SYSTEMIC ANTIBIOTICS
- TREAT SYMPTOMATICALLY
What is an inflammation of the tendon sheath and of the enclosed tendon?
- TENOSYNOVITIS
What are the signs and symptoms of tenosynovitis?
- FLEXION CONTRACTURE
- SYMETRICAL ENLARGEMENT OF THE DIGIT
- PAIN ALONG TENDON SHEATH
- PAIN UPON EXTENSION
What is the treatment for a patient with tenosynovitis?
- REST
- ELEVATE EXTREMITIES
- IMMOBILIZE
- HEAT OR COLD APPLICATION
- LOCAL ANALGESICS
- NSAIDS
o INDOMETHACIN
What is the treatment for severe cases of tenosynovitis?
- CORTICOSTEROID INJECTION INTO THE TENDON SHEATH
What are the complications associated with tenosynovitis?
- CONTRACTURE OF TENDON SHEATH
- ULCERATION AND NECROSIS
- UNCONTROLLED INFECTION LEADING TO SEPTICEMIA
What are the signs and symptoms of cellulitis?
- LYMPHANGITIS
- REGIONAL LYMPHADENOPATHY
- LOWER EXTREMITIES ARE MOST COMMON SITE OF INFECTION
- USUALLY CAUSED BY PUNCTURE WOUNDS AND ANIMAL SCRATCHES
- LEUKOCYTOSIS IS COMMON BUT NOT CONSTANT
- SIGNS OF INFECTION
What is the treatment for streptococcal cellulitis?
- PENICILLIN
- E-MYCIN FOR PCN-ALLERGY
- INCISE AND DRAIN LOCAL INFECTIONS
What are the complications associated with cellulitis?
- SOLID EDEMA
- SEPTICEMIA
- NECROTIZING SUBCUTANEOUS INFECTION
- GANGRENE
What is the disposition of a PT with cellulitis along with tenosynovitis?
- MEDEVAC
What are the signs and symptoms of impetigo?
- PRURITIS
- SORENESS
What are the two patterns of infection associated with impetigo?
- BULBOUS
- VESICULAR
What is the treatment for impetigo?
- ORAL ANTIBIOTICS
o DICLOXICILLIN
o KEFLEX
- ANTIBACTERIAL SOAP AND WATER
- TOPICAL OINTMENT
o BACTROBAN
What are the complications associated with impetigo?
- ACUTE NEPHRITIS
- RHEUMATIC FEVER
What are the different types of fungal infections?
- CANDIDIASIS
- TINEA CAPITIS
- TINEA CORPORIS
- TINEA CRURIS
- TINEA VERSICOLOR
- TINEA UNGUIM
- TINEA PEDIS
Fungal infections are superficial yeast infections caused by what microorganism?
- CANDIDA ALBICANS
What are the signs and symptoms of candidiasis?
- PRIMARY LESION IS A PUSTULE
- PUSTULE DISSECTS AND PEELS AWAY THE STRATUM CORNEUM
- RED GLISTENING LESION WITH PAPER LIKE SCALING AT AN ADVANCING BORDER
- BEEFY RED WITH WELL MARGINATED BORDERS
Where can candidiasis be found?
- ANUS
- VAGINA
- BODY FOLDS
- UNCIRCUMCISED PENIS
What is the treatment for candidiasis?
- TOPICAL;
o MICONAZOLE
o CLOTRIMAZOLE
- ORAL;
o CLOTRIMAZOLE
What is the etiology of tinea capitis?
- DERMATOPHYTES
- CONTACT OR EXPOSURE TO INFECTED PERSONS OR PETS
What are the signs and symptoms of tinea capitis?
- PRURITIS
- ROUND, GRAY, SCALY, LOCALIZED LESIONS
- BRITTLED HAIR
- BALD PATCHES
In regards to tinea capitis, what color appears on the hair/scalp when put under a woods lamp and what is seen with a KOH wet prep?
- WOODS LAMP; BLUE GREEN FLORESCENCE
- KOH PREP; LARGE SPORE EXOTERIC (BAG FULL OF MARBLES)
What is the treatment for tinea capitis?
- GRISEOFULVIN
- LAMISIL
What is tinea corporis?
- RINGWORM OF THE BODY
What are the signs and symptoms of tinea corporis?
- PRURITIS
- ROUND ANNULAR LESIONS
- ADVANCING BORDERS AND CENTRAL CLEARING
What can the central area of tinea corporis appear like?
- HYPER OR HYPO-PIGMENTED
What is the treatment of tinea corporis?
- TOPICAL ANTIFUNGALS;
o CLOTRIMAZOLE
o TOLNAFTATE
o KETOCONAZOLE
- ORAL ANTIFUNGALS;
o KETOCONAZOLE
o GRISEOFULVIN
o FLUCONAZOLE
What are the signs and symptoms of tinea versicolor?
- MACULAR LESIONS WITH FINE SCALING
- NON-PRURITIC
In regards to tinea versicolor, what color appears when put under a woods lamp and what is seen with a KOH wet prep?
- WOODS LAMP; GOLDEN YELLOW
- KOH PREP; SHORT HYPHAE AND SPORES (SPAGHETTI AND MEATBALLS
What is the treatment for tinea versicolor?
- SELENIUM SULFIDE
- TOPICAL ANTIFUNGALS;
o Ketoconazole
o Itraconazole
What are the signs and symptoms of tinea unguium?
- LUSTERLESS BRITTLE HYPERTROPHIC NAILS
- FRIABLE / PITHY NAIL
- NAIL IRREGULARITIES
What is the treatment for tinea ungium?
- Tebinafine (Lamisil)
- Fluconazole (Diflucan)
- Intraconazole (Sporanox)
What are the signs and symptoms for tinea pedis?
- INTENSE PRURITIS
- USUALLY SEEN IN 4TH-5TH DIGIT WEB SPACES
- CAN BE;
o DRY
o SCALED
o WITH FISSURES
o WHITE SOGGY AND MACERATED
What are the treatments for tinea pedis?
- TOPICAL ANTIFUNGALS;
o CLOTRIMAZOLE
o TOLNAFTATE
Is tinea cruris seen more ion males or females?
- Males
What are the signs and symptoms of tinea cruris?
- PRURITIS
- HALF MOON SHAPED PLAQUE WITH WELL DEFINED SCALING/VESICULAR BORDER
- USUALLY BILATERAL
What is the treatment for tinea cruris?
- TOPICAL ANTIFUNGALS;
o Clotrimazole
- KEEP AREA CLEAN AND DRY
- AVOID OVER BATHING
What are the different viral infections?
- VERRUCAE
- MOLLUSCUM CONTAGIOSUM
- HERPES SIMPLEX
- HERPES ZOSTER
What are the signs and symptoms of verrucae?
-- FIRM PAPULES 1-10mm
- HYPERKERATOTIC CLEFTED SURFACES
- REDDISH BROWN-BLACK DOTS
Where do verrucae typically appear?
- HANDS
- FEET
- ANUS
- PENIS
- LABIA
What is the treatment for verrucae?
- WART REMOVAL COMPOUND
o PODOPHLYN
o DUOFILM
- SURGICAL EXCISION
- LIQUID NITROGEN
What is a common, benign viral skin disorder consisting of small umbilicated papules.
- MOLLUSCUM CONTAGIOSUM
What are the signs and symptoms of molluscum contagiosum
- 2-5mm
- SLIGHTLY UMBILICATED
- FLESH COLORED
- DOME SHAPED PAPULES
- SINGULARLY OR GROUPED
Molluscum contagiosum appears on any surface of the body except where?
- PALMS AND SOLES
In adults where is molluscum contagiosum usually seen?
- GENITAL AREAS
What is the treatment for molluscum cantagiosum?
- CURETTE
- LIQUID NITROGEN
What is the incubations period for herpes simplex?
- 3-7 DAYS
What are the signs and symptoms of herpes simpex?
- PARASTHESIA
- BURNING
- PAIN
- FLU LIKE SYMPTOMS
How long can herpes simplex last?
- 2-6 WEEKS
What is the treatment of herpes simplex?
- ACYCLOVIR
What usually presents as a painful unilateral dermatomal eruption?
- HERPES ZOSTER
What are the signs and symptoms of herpes zoster?
- REGIONAL LYMPHADENOPATHY
- INTENSE PAIN
- MALAISE-HEADACHE
How long do herpes zoster lesions usually last?
- 2-3 WEEKS
What is the treatment for herpes zoster?
- ORAL;
o ACYCLOVIR
o CORTICOSTEROIDS
- DOMBORO SOAKS
- SEDATIVES
- NSAIDS / NARCOTICS FOR PAIN
What are the complications associated with herpes zoster?
- ENCEPHALITIS
- TRIGEMINAL NERVE INVOLVEMENT
- NEURALGIA
- HIV INFECTION
What are the different derm inflammatory processes?
- ”SCALP PUPS”
o SEBORRHEIC DERMATITIS
o CONTACT DERMATITIS
o ATOPIC DERMATITIS
o LICHEN PLANUS
o POMPHOLYX
o PITYRIASIS ROSEA
o URTICARIA
o PSORIASIS
o SEBORRHEIC DERMATITIS
What are the signs and symptoms of contact dermatitis?
- ERYTHEMA WITH BULLA
- DERMATITIS USUALLY FOLLOWS PATTERN OF CONTACT
What is the treatment for contact dermatitis?
- REMOVE IRRITANT
- TOPICAL STEROIDS
- SYSTEMIC STEROIDS
o BENADRYL
o ATARAX
- AVOID HOT SHOWERS
What is the complication associated with contact dermatitis?
- AIRWAY COMPROMISE
What are the signs and symptoms of contact dermatitis?
- SEVERE PRURITIS
- VISCOUS CYCLE
o ITCH-SCRATCH-ITCH
Where does atopic dermatitis usually appear?
- FACE
- NECK
- FLEXURAL SURFACES
What are the treatments for atopic dermatitis?
- ELIMINATE EXACERBATING FACTORS
- HYDRATE THE SKIN
- REDUCE INFLAMMATION
- TOPICAL STEROIDS
o KENALOG
o HYDROCORTISONE
- ANTIHISTAMINES
o ATARAX
o BENADRYL
What are the signs and symptoms of urticaria?
- HIVE/WHEAL FORMATION-
- ERYTHEMATOUS OR WHITE NON-PITTING EDEMATOUS PLAQUE
- HIVES MAY BE BORDERED BY RED OR WHITE HALO
- PRURITIS
What is the treatment of urticaria?
- ELIMINATE CAUSE
- ANTIHISTAMINE
o ATARAX
o BENADRYL
- EPINEPHRINE 1:1000
- STEROIDS
What is the disposition of a PT with urticaria and a compromised airway?
- MEDEVAC
What is a unique inflammatory disorder of the skin and mucous membranes?
- LICHEN PLANUS
What are the signs and symptoms of lichen planus?
- FIVE P’s
o PURPLE, PRURITIC, PLANAR, POLYANGULAR PAPULES
- 2-10mm FLAT TOPPED PAPULES WITH IRREGULAR ANGULATED BORDERS
- WHITE LACEY RETICULAR PATTERN
Where are lichen planus lesions usually seen?
- FLEXURAL SURFACES OF;
o WRIST
o FOREARMS
o ANKLES
o LEGS
o LUMBAR REGION
What is the treatment for lichen planus?
- TOPICAL STEROIDS
o 0.1% Triamcinolone w/ occlusion
- SYSTEMIC STEROIDS
o Prednisone
- ANTIHISTAMINES
o Hydroxizine
- INTRA-LESIONAL STEROIDS
What are the signs and symptoms of pityriasis rosea?
- OVAL PINK-FAWN COLORED MACULES, PAPULES and PLAQUES FROM 1-2MM UP TO 2-4CM
- HERALD PATCH 7-14 DAYS PRIOR
- LESIONS FOLLOW CLEAVAGE LINES
- CHRISTMAS TREE PATTERN
What is the treatment for ptiyriasis rosea?
- ANTIHISTAMINES
- RPR TO RULE OUT SYPHILIS
What are the signs and symptoms of psoriasis?
- RED SCALING PAPULES THAT COALESCE TO ROUND/OVAL PLAQUES
- ADHERENT SILVERY WHITE SCALE
Where is psoriasis usually seen?
- EXTENSOR SURFACES
o KNEES
o ELBOWS
What is the treatment for psoriasis?
- TOPICAL STEROIDS
- UV LIGHT B
What is a very common chronic dermatosis characterized by redness and scaling and occurring in regions where the sebaceous glands are most active?
- SEBORRHEIC DERMATITIS
What are the signs and symptoms of seborrheic dermatitis?
- PRURITIS
- GREASY YELLOW SCALING OR DRY SCALING DANDRUFF
- WITH OR WITHOUT ERYTHEMA
What is the treatment for seborrheic dermatitis?
- SELENIUM SULFIDE SHAMPOO
- KETOCONAZOLE 2% SHAMPOO
- TOPICAL CORTICOSTERIODS
What are the different idiopathic derm disturbances?
- “ASS”
o ALOPECIA AREATA
o SEBORRHEIC KERATOSIS
o SEBACEOUS AND EPIDERMAL CYSTS
What is an absence of the hair from skin areas where it normally is present?
- Alopecia areata
What are the signs and symptoms of alopecia areata?
- RAPID ONSET OF TOTAL HAIR LOSS IN A SHARPLY DEFINED
What are the signs and symptoms of seborrheic keratosis?
- 1-3MM PAPULES OR PLAQUE WITH OR WITHOUT PIGMENT
- PROGRESSES TO PLAQUE WITH WARTY SURFACE
- GREASY, WAXY, SCALING, CRUSTED WITH “STUCK ON” APPEARANCE
Where does saborrheic keratosis usually appear?
- SUN EXPOSED AREAS
What is the treatment for seborrheic keratosis?
- NO TREATMENT UNLESS THEY ARE IRRITATED, ITCHY OR COSMETICALLY BOTHERSOME
What are the signs and symptoms of sebaceous / epidermal cysts?
- ROUND PROTRUDING SMOOTH MASS
- MOVEABLE AND NONTENDER
- MAY HAVE VISIBLE KERATINOUS PLUG
Where are sebaceous / epidermal cysts usually seen?
- BACK
- FACE
- NECK
- BUT MAY APPEAR ON ANY SURFACE
What is the treatment for sebaceous / epidermal cysts?
- I&D
- REMOVAL
What are the derm neoplasms?
- “LAMBS”
o LIPOMA
o ACTINIC KERATOSIS
o MALIGNANT MELANOMA
o BASAL CELL CARCINOMA
o SQUAMOUS CELL CARCINOMA
People with what type of skin complection are more susceptible to actinic keratosis?
- PALE COMPLECTED PERSONS
What are the signs and symptoms of actinic keratosis?
- BEGINS AS AN AREA OF INCREASED VASCULARITY
- BECOMES SLIGHTLY ROUGH
- GRADUALLY FORMS ADHERENT YELLOW CRUST
- FEELS ROUGH (SANDPAPER)
- HORNY GROWTH
What is the treatment for actinic keratosis?
- REMOVAL;
o CRYOSURGERY
o EXCISION
- SUN EXPOSURE PROTECTION
What is a malignant tumor of the skin originating from the basal cells of the epidermis and its appendages?
- BASAL CELL CARCINOMA
WHAT ARE THE SIGNS AND SYMPTOMS OF BSAL CELL CARCINOMA?
- BEGINS AS A PEARLY/TRANSLUCENT DOMED PAPULE
- LESIONS EXTEND PERIPHERALLY
- BORDER MAY BE ROLLED WITH CENTRAL ULCERATIONS
What colors can basal cell carcinoma appear like?
- BROWN
- BLACK
- BLUE
What is the treatment of a basal cell carcinoma?
- SURGICAL REMOVAL BY A SPECIALIST
What are the complications associated with basal cell carcinomas?
- METASTASIS
- ULCERATION AND TISSUE DESTRUCTION
- MISDIAGNOSIS WITH MOLLUSCUM CONTAGIOSUM
What is a malignant epithelial tumor arising from keratinocytes?
- SQUAMOUS CELL CARCINOMA
What are the signs and symptoms of squamous cell carcinomas?
- SOFT, FREELY MOVEABLE WITH RED INFLAMED BASE
- HARD INDURATED PAPULE, PLAQUE, OR NODULE
- MAY APPEAR WITH CRUSTY/WARTY GROWTH
What is the treatment of a squamous cell carcinoma?
- SURGICAL EXCISION
What are the complications associated with squamous cell carcinoma?
- METASTASIS
- MISDIAGNOSIS WITH ACTINIC KERATOSIS
What is the leading cause of death from skin diseases?
- MELANOMA
What are the signs and symptoms of melanoma?
- ASYMMETRY
- BORDER IS IRREGULAR
- COLOR;
o MOTTLED BROWN
o BLACK
o GRAY
o PINK
- DIAMETER > 6MM
- ELEVATED
What is the treatment for melanoma?
- SURGICAL EXCISION BY A SPECIALIST
What are the complications associated with melanoma?
- METASTASIS
- DEATH
What is the disposition of a PT with melanoma?
- MEDEVAC
What are the signs and symptoms of lipoma?
IN
normal soft moveable sub cutaneous

normal skin
What part of the body is lipoma usually seen?
- TRUNK
- BACK
- NECK
- FOREARMS
What is the treatment for lipoma?
- NONE REQUIRED
What are the complications associated with lipoma?
- LIPO-SARCOMA
What are the derm parasitic infections?
- SCABIES
- PEDICULOSIS
What are the signs and symptoms of scabies?
- SINGLE BITE
- DRY SKIN
- NOCTURNAL PRURITIS
Where do the lesions associated with scabies appear?
- FINGER WEB SPACES
- SIDES OF HANDS
- WRIST
- FOREARMS
- FEET
- PENIS
- BUTTOCKS
- SCOTUM
What is the treatment of scabies?
- LINDANE
- PERMETHRIN
What are the different types of pediculosis?
- P. PUBIS; CRAB LOUSE
- P. CAPITUS; HEAD LOUSE
- P. CORPORIS; BODY LOUSE
What are the signs and symptoms of pediculosis?
- INTENSE PRURITIS
- NITS
- VISIBLE LICE
- EXCORIATIONS
What is the treatment for pediculosis?
- LINDANE
- PERMETHRIN