Scabies is a mite that burrows into the skin and is classically intensely pruritic especially at night making it difficult to sleep. Risk factors include immunocompromised patients, patients living in close quarters, recent hospitalizations, however the reality is ANYONE exposed can contract this. Its a clinical diagnosis, but you should NOT always expect to see the interdigital excoriations from burrows (is pathognomonic but only 10-20% have this) make sure you disrobe the patient and look for papules and tiny vesicles scaly for excoriations along the flexor surfaces (inter-digital areas, wrist, elbows, underarms) and dont forget to look around the umbilicus, nipples and perineal area. Norwegian scabies have crusted layers that can look anywhere from white/yellow in color to darker hues in darker pigmented people.
Vents, Scabies, and IV Fluid Cage Match Full episode audio for MD edition 256:28 min - 357 MB - M4AEM:RAP 2015 Octobre Résumé en Francais Français 65:06 min - 39 MB - MP3EM:RAP 2015 October Aussie Edition Australian 31:30 min - 43 MB - MP3EM:RAP 2015 Octubre Español 71:43 min - 38 MB - MP3EM:RAP 2015 October Canadian Edition Canadian 20:46 min - 16 MB - MP3EM:RAP 2015 Español Octubre 2015 1 MB - PDFEM:RAP 2015 October Board Review Answers 243 KB - PDFEM:RAP 2015 October Board Review Questions 343 KB - PDFEM:RAP 2015 October MP3 253 MB - ZIPEM:RAP 2015 October Summary 928 KB - PDF