Saturday, November 8, 2014

Scabies treatment mnemonic

The mnemonic for this itchy disease is the word, "SCABIES" itself. I divided it into two parts, the scabicides and the extra drugs used for pruritus, keratolysis, etc. The mnemonic is the same for both.

Scabicides: "SCaBIes"
S for Sulphur ointment

C for Crotamiton

B for Benzyl benzoate

b flipped upside down looks like a p, for permethrin

I for Ivermectin

I also looks like a L, for Lindane

Extras: "SCAbies"
S for Salicylic acid
S for Salicylates
C for Calamine lotion
C for Corticosteroids
A for Antihistamines

Use 5% permethrin.
L looks like 1, so 1% Lindane.

Ivermectin (200 micro g/kg) single oral dose. Patients with crusted Scabies may require two or more doses of ivermectin.

Salicylic acid is a keratolytic; allows good penetration of scabicides.

Antihistamines, salicylates, and calamine lotion relieve itching during treatment, and topical glucocorticoids are useful for the pruritus that lingers after effective treatment.

That's all!

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