VizD Challenge Week of 1/7/08
A 5-year-old boy presents to your ED with 2-days of rectal itching
(click on image to enlarge)
Questions:
1. What is the diagnosis?
2. What is the treatment for this condition?
Winner receives $5!
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Though your answer won't post, I will have a record of it.
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VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.
8 comments:
1) Pinworms!
2) mebendazole (Vermox) or Pin-X (pyrantel pamoate)!
vermicularis enterobius - that boy got the worms!
pinworms! ack
Pin worms (Threadworms).
1. Enterobius vermicularis (pinworms)
I'll go with Enterobius vermicularis, or good old pinworm. Treat OTC with Pin-X twice, a couple of weeks apart, and heck, burn the house down and start again.
Oxyuriasis
1. Diagnosis: Anal haemolytic streptococcus infection.
2. Treatment, p.o. Phenoxypenicillin, if allergic erytromycin (where I go to medschool we can use those antibiotic, but in your case it depends upon your local resistance pattern for relevant bacteria) and chloridehexdine soap.
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