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KamaSutra Dotted Condoms
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KamaSutra Dotted Condoms
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Most popular medical Questions
What puzzling cause of asymmetric hair loss in a child will sometimes cause an intern to pull his or her hair out?Trichotillomania is hair loss as a result of self-manipulation, such as rubbing, twirling, or pulling. Hair loss is asymmetric. The most common physical finding is unequal hair lengths in the same region without evidence of epidermal changes of the scalp. Parents often do not observe the causative behavior, and convincing them of the likely diagnosis may take some effort. Behavior modification, along with the application of petroleum or oil to the hair to make pulling more difficult, is the treatment of choice. Rarely a child will swallow the hair and develop vomiting because of the formation of a gastric trichobezoar (hairball).
What causes green hair?
Besides hair dye in a rebellious teenager, children with blond or light-colored hair can develop green hair after long-term exposure to chlorinated swimming pools. It is the result of the incorporation of copper ions into the hair matrix. Over-the-counter chelating shampoos are available for prevention and treatment.
How should ingrown toenails be managed?
Soaks, open-toed sandals, properly fitting shoes, topical or systemic antibiotics, incision and drainage, or surgical removal of the lateral portion of the nail may all be used. Control is best obtained by letting the nail grow beyond the free end of the toe. Proper instruction on nail care, including straight rather than arc trimming, is mandatory.
Which pathogens are responsible for paronychia?
Acute paronychia (inflammation of the nailfold, usually with abscess formation) is most commonly caused by Staphylococcus aureus. The proximal or lateral nailfolds become intensely erythematous and tender. If a collection of pus develops at this site, it should be incised and drained. The treatment of acute paronychia includes the oral administration of antistaphylococcal antibiotics.
Chronic paronychia is most often caused by Candida albicans and often involves a history of chronic water exposure (e.g., dishwashing, thumb sucking). Although rarely inflamed, there is edema of the nailfolds and separation of the folds from the nail plate. The nails may become ridged and develop a yellow-green discoloration. A bacterial culture may reveal a variety of gram-positive and gram-negative organisms. Therapy includes topical antifungal agents and avoidance of water. There is no place for griseofulvin in the treatment of chronic paronychia.
A healthy 7-year-old child who develops progressive yellowing and increasing friability of all nails over a period of 12 months likely has what condition?
Twenty nail dystrophy (trachyonychia). The progressive development of rough nails with longitudinal grooves, pitting, chipping, ridges, and discoloration occurring in isolation in school-aged children has been given this name, although not all nails need be involved. The etiology remains unclear, and a majority of cases resolve spontaneously without scarring. The nail changes, however, may herald other conditions, such as alopecia areata, lichen planus, and psoriasis.
What are the clinical findings of head lice infestation?
Scalp pruritus is most common, but many children are asymptomatic. A search for lice should be made in any school-aged child presenting with scalp itching. Nits (lice eggs) are found in greatest density on the parietal and occipital areas.
Should parents nit pick?
Once an infestation of lice has been properly treated, the nits are not viable or contagious. Despite this, many schools will not allow children with nits to attend, although this nit-free policy has not been shown to be of benefit for controlling outbreaks. Increasing resistance to therapy may make removal more important to avoid diagnostic confusion. Manual removal (nit picking) is the most effective method, although it is time consuming and tedious. Fine-toothed combs, especially the LiceMeister comb (available through the National Pediculosis Association
How is a skin scraping for scabies or "scabies prep" done?
Because the highest percentage of mites are usually concentrated on the hands and feet, the web spaces between digits are the best places to look for the characteristic linear burrows. Moisten the skin with alcohol or mineral oil, scrape across the area of the burrow with a small, rounded scalpel blade (e.g., No. 15), and place the scrapings on a glass slide with a drop of KOH (or additional mineral oil, if used) and a cover slip. Burrows, if unseen, can be more precisely localized by rubbing a washable felt-tip marker across the web space and removing the ink with alcohol. If burrows are present, ink will penetrate through the stratum corneum and outline the site. Under the microscope, mites, eggs, and/or scybala (mite feces) may be seen.
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