The document discusses two case scenarios involving common pediatric skin conditions. The first scenario involves a 6-year-old boy with suspected impetigo, which presents as a rash on his right forearm. He would likely be treated as an outpatient with topical antibiotics and the mother instructed to clean the wound and apply any medications. The second scenario involves a 10-year-old child prescribed permethrin lotion for scabies; the correct instructions would be to apply the lotion liberally from neck to toe and leave it on overnight without rinsing.

1. Common skin problem Pretest
Chansathit MD, FMD
18 Jan 18

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8. 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?

9. How should you expect to treat for this patient
at OPD?

10. How will the mother be expected to care for her
son at home?

11. 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