Infectious Disease – Therapy for different diseases – Flashcards
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Condyloma acuminatum (Venereal warts) |
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| No tx completely satisfactory, relapse is frequent and rqrs re-treatment |
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| Dengue |
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| supportive |
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| Enteroviral rashes |
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| Supportive - spec IgG for infants with severe viral sepsis |
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| Erythema infectosum |
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| supportive therapy |
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| Erythema multiforme |
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| Acyclovir (for HSV)- |
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| Gianotti-Crosti Syndrome |
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| supportive therapy |
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| Hand, Foot and Mouth Disease |
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| Supportive |
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| Herpangina |
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| Supportive |
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| Herpes cold sores |
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| Acyclovir, valacyclovir, famcyclovir, penciclovir, and trifluridine |
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| Herpes zoster, shingles |
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| Acyclovir, valacyclovir or famcyclovir |
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| Infectious mononucleosis |
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supportive or corticosteroids
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| Kawasaki syndrome (mucocutaneous lymph node syndrome) |
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| IV immunoglobulin and aspirin |
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| Measles, atypical |
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| Ribavirin and vitamin A for adults |
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| Measles, rubeola |
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| vitamin A for children, ribavirin and vitamin A for adults |
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| Milker's nodules |
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| supportive, wet compressives |
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| Mulluscom contagiosum |
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| destroy lesion by freezing |
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| Orf, ecthyma infectiosum (contagiosum) |
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| ORf is a self-limiting disease that only lasts 4-6 w, no treatment is necessary |
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| Primary HIV infection |
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| NNRTI (Elfavirenz) OR Protease inhibitor (Atazanavir + ribonavir) or Integrase inhibitor PLUS dual NRTI (tenofovir + emtricitabine) |
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| Roseola infantum, exanthema subitum |
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| supportive for high fever |
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| Rubella, German Measles |
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| Supportive therapy |
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| Smallpox, variola |
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| Cidovir (+ vaccine if ;4d since exposure) |
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| ULE or APEC |
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| supportive |
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| Varicella, chickenpox |
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| Severe cases, acyclovir. salicylates (I.E. aspirin) are contraindicated |
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| Verrucae |
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| cryosurgery, keratolytic, curettage, electrodesiccation, destructive acids |
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| West Nile Fever |
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| Supportive |
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| Ehrlichiosis, Anaplasmosis, Rickettsialpox, Rocky Mountain Spotted Fever, Typhus (endemic, murine endemic and scrub) |
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| Doxycycline |
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| Lymphogranulma venereum |
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| Doxycycline or azithromycin |
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| Acne |
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| topical erythromycin and topical benzoyl peroxide |
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| Actinomycosis |
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| Ampicillin 6 w --> amoxicillin 6 mo |
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| Arcaneobacterial pharyngitis |
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| erythromycin |
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| Burn or wound infections |
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| Vancomycin + amikacin + piperacillin |
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| Buruli Ulcer |
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| Rifampin + amikacin or ethambutol + trimethoprim - sulfamethoxazole |
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| Cat scratch disease or fever |
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| Azithromycin |
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| Cellulitis/Erysipelas |
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Vancomycin (facial), Penicillin G (other regions, S. pyogenes)
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| Chancroid |
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| ceftriaxone or azithromycin |
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| Condyloma lata |
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| benzathine penicillin G |
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| Cutaneous anthrax |
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| Ciprofloxacin, incision and debridement are not recommended |
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| cutaneous or wound diptheria |
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| clean the lesion w soap/H20, antibiotics as needed |
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| Disseminated Vibrio vulnificus infection |
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| Doxycycline + ceftazadime |
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| Ecthyma gangrenosum |
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| Imipenem or meropenem for Pseudomonas |
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| Enteric or Typhoid fever |
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| ciprofloxacin or ceftriaxone |
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| erysipeloid |
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| Penicillin G for skin infection; cefazolin for endocarditis and/or septic arthritis |
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| Erythema marginatum (with ARF) |
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| Penicillin V for streptococcal pharyngitis |
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| Erythema nodosum |
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| Eliminate cause; bed rest, aspirin, symptomatic |
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| erythrasma |
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| oral erythromycin |
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| Folliculitis |
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| systemic antibiotics, warm or wet compresses, incision and drainage |
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| Furunculosis/carbunculosis |
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| I and D, trimethoprim-sulfamethoxazole if > 5 cm lesion |
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| Gonnococcemia |
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| Ceftriaxone |
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| Granuloma inguinale |
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| Doxycycline |
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| Hidradenitis suppurativa |
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| Early, simple cases are treated with incision and drainage, moist heat, and prolonged systemic antibiotic therapy |
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| Impetigo |
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| topical antibiotic |
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| Infectious endocarditis |
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| Gentamycin + (Vancomycin or Penicillin G) |
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| Leprosy |
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| Dapsone + Rifampin + clofazimine |
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| Leptospirosis |
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| Penicillin G |
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| Listeriosis |
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| Ampicillin + cefotaxime |
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| Lyme Disease |
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| Doxycycline, ceftriaxone |
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| Meningococcemia |
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| Penicillin G, ceftriaxone |
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| Nocardiosis |
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| Drain abscesses and treat with trimethoprim-sulfamethoxazole |
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| Plague |
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| Gentamycin, supportive care |
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| Primary syphilis |
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| benzathine penicillin G |
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| Rat-bite fever |
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| doxycycline |
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| scarlet fever |
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| Penicillin G |
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| Staphylococcal Scalded Skin Syndrome (SSSS) |
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| Oxacillin, nafcillin |
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| Subcutaneous necrotizing infections |
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| gram stain of pus--> antibiotic choice |
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| swimming pool granuloma |
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| symptomatic |
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| Syphilis (secondary) |
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| Benzathine penicillin G |
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| Toxic Shock Syndrome |
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| Nafcillin, Oxacillin (S. aureus), Penicillin G + clindamycin (S. pyogenes) |
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| Tularemia |
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| Gentamicin or tobramycin |
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| Yaws |
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| Benzathine penicillin G |
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| Blastomycosis |
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| Amphotericin B |
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| Cutaneous candidiasis, moniliasis |
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| Clotrimazole |
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| Chromomycosis |
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| Itraconazole and surgery |
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| Coccidiomycosis |
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| Itraconazole |
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| Cryptococcosis |
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| Fluconazole |
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| Histoplasmosis |
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| Itraconazole |
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| Kerion |
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| Griseofulvin |
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| Sporotrichosis |
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| Oral itraconazole |
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| Tinea circinata, tinea capitis, tinea cruris, and tinea pedis |
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Tinea capitis: Terbinafine, Tinea corporis, cruris or pedis: OTC Lotrimin or Lamisil (butenafine or terbinafine)
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| Tinea versicolor, pityriasis |
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| Systemic and topical anti-fungals, ketoconazole |
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| American leishmaniasis and oriental sore |
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| fluconazole for cutaneous disease, antimony or amphotericin B for mucocutaneous disease |
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| Chagas disease |
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| Nifurtimox or benznidazole |
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| Creeping eruption or cutaneous larva migrans |
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| levermectin |
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| Dracunculiasis |
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| Slowly extract worm from skin |
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| Hookworm disease, Strongyloidiasis |
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| Albendazole (hookworm), ivermectin (Strongyloides) |
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| Onchocerciases |
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| Doxycycline followed by ivermectin |
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| Swimmer's Itch |
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| Supportive |
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| Trichinosis |
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| Analgesics (aspirin or narcotics) may be required for muscle pains |
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| Bedbug bite |
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| Antiseptic, corticosteroid |
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| Black widow spiderbite |
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| intramuscular antivenin |
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| body/head lice |
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| 1% permethrin or 1% lindane |
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| chigger bites, trombiculiasis |
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| corticosteroids |
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| Crabs |
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| 1% permethrin or 1% lindane |
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| Cutaneous myiasis |
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| block O2 supply, then manually extract larvae when it tries to move |
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| Flea bites |
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| corticosteroids |
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| Necrotic arachnidism, brown spider bite |
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| Ice for pain, elevate extremity, topical antibiotics |
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| Scabies |
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| permethrin cream, 5% |
