14. Case Scenario 1
You are a pediatric resident who are on duty for daytime.
A 6-year-old boy has what looks like impetigo on his right
forearm.
What did you see that made you suspect impetigo?
Answer:
• Recognize Bullous impetigo
• Painless bullous and transparent, yellow flaccid and easy to
rupture
• Found the regional adenopathy up to 90% of cases
15. Question
How should you expect to treat for this patient at OPD?
Topical med. : Mupirocin oinment 2% apply 3 time s aday
Regimen: Cephalexin every 8 hours
Cleaning lesions
16. Question
How will the mother be expected to care for her son at home?
Answer:
• Good hand washing to prevent spread
• Cut child’s nails short, wash hands often with anti-bacterial soap
• Do not share towels, utensils with infected child
• Out of school or daycare for 24h once antibiotics started
• Finish full course of antibiotics
17. Case scenario 2
Permethrin 5% lotion or cream (Elimite) is
prescribed for a 10-year-old child diagnosed
with scabies. What instructions should the
nurse provide for the mother?
a. Apply the lotion liberally from neck to toe
b. Wrap the child in a clean sheet after treatment
c. Leave the lotion on for 10 minutes then rinse
d. Apply the lotion only to the child’s scalp
