Question

1. Diluc is a 21-year-old man that is a student at UC Davis who rushes to the Student Health Center in the morning after a restless night of itching. When he is admitted and reports his symptoms to the physician, he explains that he has had intense localized itching on his arms for the past 24 hours and is unsure of the cause. The physician asks Diluc questions about his activities in the last 24 hours, and the physician takes note of the fact that Diluc engaged in unprotected sexual activities the day before. When examining the area that Diluc has been scratching, the physician notices some elevated serpentine lines. Diluc has repeatedly told the physician that the intense scratching occurred spontaneously and he has no history of eczema or other rash like infections.

2. Julie brings her five-year old daughter. When the nurse asked what brings them in, Julie replied saying her daughter's been having chills and fever for the past week. The doctor asked if she had any other signs/symptoms, Julie let them know her daughter had some unusual joint pains, fatigue, and vomiting. Julie also mentioned they had travelled to abroad 2-3 weeks ago during the kids summer break. Julie, her husband, and daughter went to Mexico for a week, but no one else in the family has any symptoms. They didn't get any shots before traveling out of the country or neither did they take any medicine with them when they went as well.

Instruction:

1. Diagnose the disease that the child has.
2. Determine a course of treatment for the disease.
   • You may use the CDC, Mayo clinic, personal experience, etc. to determine the treatment.
3. What steps are necessary to stop the spread of the disease?

Answer 1

1)Dignosis-scabies infection

This infection it will spread through person to person or skin to skin contact .

Treatment- permethrin, Ivermectin ,crotamiton these are the drug of choice for scabies.

Home remedies

1)soaking in cool water, or apply cool,oatmeal bath, this remedies will minimize itching.

2)antihistamines can take .

3)Apply lotion like calamine.

Prevention of spread of disease

1)avoid close contact with infected persons such as bedding & clothing used by an infected person.

2)Diagnosis -Flu infection

It is a viral infection affecting the most, throat, and lungs.It will spread through skin to skin contact, by saliva (kissing), by touching a contaminated surface and by airborne respiratory droplets.

Treatment. - fluid replacement therapy

Bed rest

Medications such as

antiviral drugs(peramivir,oseltamivir)

NSAID (naproxen)

Analgesics -acetaminophen.

Decongestant -phenylephrine.

Prevention of spread of disease

1)avoid close contact with the infected person.

2)cover the face while coughing or sneezing.

3)wash the hands often

4)vaccination

4)avoid touching of face, nose and eyes because germs spread this way.