This episode deconstructs the ASHM guidelines for managing scabies and pubic lice (crabs). Learn critical diagnostic signs, from nocturnal itching to identifying interdigital burrows. We cover first-line treatment protocols: topical permethrin 5% (overnight, repeated in one week) for scabies and pyrethrin foam for pubic lice. Master crucial OSCE counselling points: explaining why shaving pubic hair is not required for crabs, enforcing the 7-day sexual abstinence rule, and coordinating simultaneous treatment for all household contacts and sexual partners to prevent re-infestation.
Pro Tip: In your OSCE, the absolute gold standard for safety is demonstrating simultaneous treatment! If you treat the patient but don't explicitly state that all household members (for the past month in scabies) and recent sexual partners must be treated at the same time, you risk failing the station due to re-infestation risk. Also, score major communication marks by reassuring the patient that shaving pubic hair is NOT required for pubic lice, and confirming that permethrin is fully safe in pregnancy and breastfeeding!
🎧 Episodes in Season 1 (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.
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