Evidence Levels: A Double-blind study B Clinical trial ≥ 20 subjects C Clinical trial < 20 subjects D Series ≥ 5 subjects E Anecdotal case reports Open full size image Management Strategy Bite Reactions DEET is effective against a broad…
Key Points Trichomoniasis typically presents with vaginal pruritus and a frothy discharge, and responds well to treatment with metronidazole. Systemic therapy for leishmaniasis is recommended for patients who are immunosuppressed or who acquire infection in areas where mucocutaneous disease has…
Key Points Most Gram-positive skin infections can be treated with a semisynthetic penicillin or a cephalosporin. Meticillin-resistant staphylococcal infections typically present as abscess or folliculitis. The primary intervention is drainage. Lyme disease typically presents with erythema migrans and responds to…
Questions Q12.1 Concerning ivermectin therapy for scabies, (1) how does ivermectin compare with topical permethrin in success rate, and (2) is ivermectin alone effective treatment for crusted scabies? (Pgs. 126×2, 127) Q12.2 What are several mechanisms of action for ivermectin…
Key Points Mammary Paget's disease (MPD) is almost always associated with underlying breast carcinoma. If an underlying mass is palpated, the patient should be referred for a fine needle biopsy of the mass or an excisional biopsy. The immunostaining pattern…