Infestation

Question 1

Pediculosis H. Capitis

Answer 1

1. 2 step verification of live lice infestation
2. Pediculocide (mainstay)
   -pyrethrin
   -permethrin
   -lindane
   -marathon
   -carbaryl
   -ivermectin(not ovicidal)
   - benzyl alcohol (choke the lice)
   - dimethicone ( drowns the lice)
3. Non pesticide
   -petroleum jelly, olive oil, hair pomade, veggi, mineral oil (by decreasing mover of the lice, easy to comb out)
4. Physical method
   -shaving
   - comb-out

Question 2

Pediculosis pubis

Answer 2

Same as P.H.capitis

Question 3

Myiasis

Answer 3

1. Occlusion and suffocation
2. Surgical removal of the larva
3. Systemic or topical ivermectin

Question 4

Tungiasis

Answer 4

1.Surgery: removal, curettage, electrodesiccation, surgical excision
2.Medical: dimethicone, metrifonate, topical ivermectin, thiabendazole, zanzarin lotion, oral niridazole
Prophylaxis: tetanus vaccination

Question 5

Onchocerciasis

Answer 5

1. Medication
   - ivermectin
   - moxidectins (not dor adult worm)
   - Doxycycline (for adult worm)
   - strain (macrofilaricidal)
2. Surgical
   - nodulectomy