Insect Bite

-
Patient presents following bites by a nonvenomous insect

Patient complains of small maculopapular raised lesions over the body which are itchy

On examination:

Macular papular lesions over the body
The lesions do not look infected
The patient does not look systemically unwell

No evidence of lymphadenopathy

Normal capillary refill


Management:
1.advised the patient other carer that these lesions do not usually need any treatment
 2.can put moisturiser cream on it such as Sorbelene
3.antihistamine such as promethazine can be used for excessive itchiness
4. Ice on the bites  may also provide relief
5. Simple analgesics such as paracetamol or ibuprofens can also be used if required

The patient has been advised to return should there be any signs of infection or any other ongoing concerns which they would like to have addressed


 Keywords:  Insect Bite, +insectbite

Comments

Post a Comment

Popular posts from this blog

Chest infection

-
Patient presents with a productive cough Generalised Malaise Sputum green in colour Occasional fevers Examination: Respiratory exam: Good Air entry bilaterally No Resp distress CREPITATIONS HEARD Reason for visit: Chest infection Management: Oral Antibioitics as prescribed Patient advised to: - Rest - Regular paracetamol +/- Ibuprofen - Drink plenty of fluids They have been advised to return here or present to ED should their symptoms worsen or if they have any concerns Keywords:  +chestinfection, Penumonia
Read more

Pill Script / OCP / Oral Contraceptive Pill

-
Presents for a refill of her oral contraceptive pill script Has been on this medication for some time without any ill effect No history of - Hypertension - DVT / PE - Migraine with aura Preventiative health screen: Cervical smears up to date Good Diet Exercises regularly Non smoker No concerns about mood Examination: BP:  Reason for contact: Oral contraceptive pill script Management: Script as requested
Read more

STI Check - Aysmptomatic

-
Patient  presents requesting screening testing for sexually-transmitted diseases Patient states they have no symptoms which concern for a STD Counselled patient on the testing that we perform HIV counselling provided and the patient informed that the negative result does not mean that they are clear if they can send I will need to have further testing if they had an exposure which they feel would be high risk for this disease  tests to be performed:  - Gonorrhoea  and chlamydia with first catch urine  -  had HIV, hepatitis C, hepatitis B, syphilis with blood testing serology   herpes simplex testing  was not included as the patient does not have any lesions which were consistent with this disease  advised patient that the best form of protection for STDs is condom is but this would not provide protection against  contracting herpes from her partner who has an active infection  advised patient that if the neither p...
Read more