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logman logman
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6 years ago
A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema.
 
  The NP does not observe new burrows on the skin. The NP should: a. order lindane.
  b. order malathion.
  c. re-treat with permethrin.
  d. prescribe triamcinolone 0.1.
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#1
6 years ago
D
In scabies, pruritus may persist for several weeks after treatment and does not necessarily indicate the need for re-treatment. Dermatitis may persist for months. Triamcinolone 0.1 may be used to help with pruritus and dermatitis. Lindane and malathion are not indicated. Re-treatment is not necessary.
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