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Levlen helps to prevent pregnancy... Preparation Dose: Levlen 0.15 mg ... 60 tabs 0.15 mg .... 90 tabs 0.15 mg                

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Levlen 0.15 mg

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Most popular medical Questions

What treatment eliminates the scabies' babies?
The treatment of choice for treating scabies is permethrin 5% cream (Elimite, Acticin). It may be used in children as young as 2 months old. It is more effective than Lindane (the previously accepted treatment for scabies), and it has a much lower risk of neurotoxicity.
The cream is applied from the neck to the toes at night with removal after 8-14 hours by bathing or showering. Retreatment in 1 week may be considered. Physicians must make patients aware of the fact that lesions and pruritus may linger for 1-2 weeks after effective therapy. One must be supportive during this time to prevent unnecessary retreatment by parents. Antihistamines and low-potency topical steroids may help control symptoms. It must be stressed that all family members and close contacts should be treated simultaneously.

After a weekend class trip during which he stayed overnight at a hotel, a teenager develops two linear clusters of itchy red bumps on his legs. What is the most likely cause of his rash?
Bed bug bites, usually caused by Cimex lectularius, often present as pink papules occurring in groups of two or three instead of single bites. This has led some to describe the bites as "breakfast, lunch, and dinner bites." They may inhabit furniture and bedding in homes, dormitories, or hotels. The itching will resolve with time, but superinfection with bacterial organisms may occur.

How concerning are pustular lesions in the newborn period?
When presented with pustules in the newborn, it is very important to rule out infectious etiologies, because some may be life-threatening. The purulent material should be evaluated with a Gram stain, KOH, Tzanck preparation, and bacterial and viral cultures. A Wright stain will reveal the presence of neutrophils or eosinophils.

Should a newborn with a sharp red line down the center of the body prompt a call to the neonatal intensive care unit?
Not unless the caller wants to be red faced. This is likely the "harlequin color" change, a relatively common entity seen in up to 10% of newborns, particularly premature infants. It consists of a reddening of one side of the body with a sharp line of demarcation along the midline. The change occurs only when the child is lying on one side. The superior half is light, whereas the dependent half is dark and subfused. The cause is thought to be an imbalance in the autonomic regulation of peripheral blood vessels. If the infant is flipped, the color pattern reverses. If the infant is placed prone or supine, the color change disappears.

What is the medical significance of cutis marmorata?
Cutis marmorata is the bluish mottling of the skin often seen in infants and young children who have been exposed to low temperatures or chilling. The reticulated marbling effect is the result of dilated capillaries and venules causing darkened areas on the skin; this disappears with warming. Cutis marmorata is of no medical significance, and no treatment is indicated. However, persistent cutis marmorata is associated with trisomy 21, trisomy 18, and Cornelia de Lange syndromes. There is also a congenital vascular anomaly called cutis marmorata telangiectatic congenita that has persistent purple reticulate mottling of the skin.

A healthy infant with scattered reddish nodules on the back skin most likely has what condition?
Subcutaneous fat necrosis consists of sharply circumscribed, indurated nodular lesions usually seen in healthy, term newborns and infants during the first few days to weeks of life. The stony hard areas of panniculitis are generally movable and slightly elevated, and the overlying skin is a reddish, violaceous color. Although the cause is unknown, it is thought that obstetric trauma and pressure on bony prominences may contribute to the problem. The usual sites (cheeks, back, buttocks, arms, and thighs) are consistent with this. Histologically, the lesions display extensive inflammation in the subcutaneous tissue with large fat lobules. Most lesions are self-limiting and require no therapy. However, occasionally they may extensively calcify and spontaneously drain with subsequent scarring. Remember that significant hypercalcemia may be present in a small number of patients. Therefore, a serum calcium level should be ordered whenever the disorder is suspected; it should be rechecked periodically until the condition resolves and for several months thereafter.



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