Q:

A 78 year old nursing home resident is revived due to the development of an intensely itchy rash. Examination: white linear lesions are seen on the wrists and elbows and red papules are present on the penis. What is the most appropriate management?

waelhammad
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2022-11-03
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A 78 year old nursing home resident is revived due to the development of an intensely itchy rash. Examination: white linear lesions are seen on the wrists and elbows and red papules are present on the penis. What is the most appropriate management?

  1. Topical permethrin
  2. Referral to GUM clinic
  3. Topical betnovate
  4. Topical ketoconazole
  5. Topical selenium sulphidehyosine
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waelhammad
2022-11-03
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The key is A. Topical permathrine. [The intensely itchy rash, scratch marks and burrows on wrist and elbow red papules on penis are suggestive of scabies. Topical permethrine are used to treat it].

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