Bed bugs - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2020-01-28T21:33:33Z

Differential Diagnosis

← Revisión anterior		Revisión del 21:33 28 ene 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Ectoparasite DDX}}		{{Ectoparasite DDX}}
			{{Hand Infection DDX}}

	==Evaluation==		==Evaluation==

Shihabali: /* Management */

2019-11-24T21:53:08Z

Management

← Revisión anterior		Revisión del 21:53 24 nov 2019
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	==Management==		==Management==
			*Primarily supportive care
	*[[Antihistamine]] for [[pruritus]]		*[[Antihistamine]] for [[pruritus]]
	*Consider [[topical steroids]] to decrease inflammation		*Consider [[topical steroids]] to decrease inflammation
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	*Treat systemic reactions similar to [[anaphylaxis]] (rare)		*Treat systemic reactions similar to [[anaphylaxis]] (rare)
	*Self-limited 1-2 weeks without treatment		*Self-limited 1-2 weeks without treatment
	*Eradication using pesticides ~~and other traditional approaches~~		*Eradication using pesticides, hot water washing of bedding

	==Disposition==		==Disposition==

ClaireLewis at 20:14, 27 September 2019

2019-09-27T20:14:37Z

← Revisión anterior		Revisión del 20:14 27 sep 2019
Línea 24:		Línea 24:

	==Management==		==Management==
	*Antihistamine for pruritus		*[[Antihistamine]] for [[pruritus]]
	*Consider topical steroids to decrease inflammation		*Consider [[topical steroids]] to decrease inflammation
	**No evidence that medications improve outcomes		**No evidence that medications improve outcomes
	*Treat systemic reactions similar to [[anaphylaxis]] (rare)		*Treat systemic reactions similar to [[anaphylaxis]] (rare)
Línea 32:		Línea 32:

	==Disposition==		==Disposition==
	*Discharge if no evidence of systemic sx or anaphylaxis		*Discharge if no evidence of systemic symptoms or anaphylaxis

	==See Also==		==See Also==

Mholtz at 23:39, 6 February 2017

2017-02-06T23:39:16Z

← Revisión anterior		Revisión del 23:39 6 feb 2017
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	==Background==		==Background==
	*''Cimex lenticularis''		*''Cimex lenticularis''
	*Bed bug bites known as ~~Cimicosis~~		*Bed bug bites are known as 'cimicosis'
	*~~Attracted~~ to CO2, warmth, exposed surfaces		*Bed bugs are attracted to CO2, warmth, exposed surfaces
	*~~Hide~~ near beds, cracks, crevices		*Tend to hide near beds, cracks, crevices
	*Feed at night		*Feed at night
	*May appear translucent (nymphs,) brown (mature bug,) red (after meal,) black (after digestion)		*May appear translucent (nymphs,) brown (mature bug,) red (after meal,) black (after digestion)
	*Belong to Hemiptera like kissing bugs which are vectors for trypanosomiasis (Central and South America)		*Belong to ''Hemiptera'' (like kissing bugs) which are vectors for trypanosomiasis (Central and South America)

	==Clinical Features==		==Clinical Features==
			[[File:Bed bug, Cimex lectularius.jpg\|thumb\|Bed bug]]
			[[File:Bedbug_with_classic_hemmoragic_appearance_and_punctate_center_2014-09-28_19-01.jpg\|thumbnail\|Bedbug with classic hemmoragic appearance and punctate center]]

	*Up to 20% of patients do not experience symptoms<ref>Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.</ref>		*Up to 20% of patients do not experience symptoms<ref>Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.</ref>
	*Pain immediately after bite		*Pain immediately after bite
	*Erythematous papules, bullae, and wheals may take days to develop		*Erythematous papules, bullae, and wheals may take days to develop
	*Classic line of bites: "breakfast, lunch, and dinner"		*Classic line of bites: "breakfast, lunch, and dinner"
	~~[[File:Bed bug, Cimex lectularius.jpg\|thumb\|Bed bug]]~~
	~~[[File:Bedbug_with_classic_hemmoragic_appearance_and_punctate_center_2014-09-28_19-01.jpg\|thumbnail\|Bedbug with classic hemmoragic appearance and punctate center]]~~

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	Clinical diagnosis, based on history and physical exam.		*Clinical diagnosis, based on history and physical exam.

	==Management==		==Management==
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	==Disposition==		==Disposition==
	Discharge if no systemic ~~symptoms~~		*Discharge if no evidence of systemic sx or anaphylaxis

	==See Also==		==See Also==
	*[[Parasitic ~~Diseases~~]]		*[[Parasitic diseases]]
	*[[Travel ~~Medicine~~]]		*[[Travel medicine]]

	==External Links==		==External Links==

Neil.m.young: Text replacement - "pruritis" to "pruritus"

2016-10-27T16:43:01Z

Text replacement - "pruritis" to "pruritus"

← Revisión anterior		Revisión del 16:43 27 oct 2016
Línea 23:		Línea 23:

	==Management==		==Management==
	*Antihistamine for ~~pruritis~~		*Antihistamine for pruritus
	*Consider topical steroids to decrease inflammation		*Consider topical steroids to decrease inflammation
	**No evidence that medications improve outcomes		**No evidence that medications improve outcomes

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-23T02:12:39Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 02:12 23 jul 2016
Línea 19:		Línea 19:
	{{Ectoparasite DDX}}		{{Ectoparasite DDX}}

	==~~Diagnosis~~==		==Evaluation==
	Clinical diagnosis, based on history and physical exam.		Clinical diagnosis, based on history and physical exam.

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:13:42Z

Text replacement - "Category:Derm" to "Category:Dermatology"

← Revisión anterior		Revisión del 13:13 22 mar 2016
Línea 43:		Línea 43:

	[[Category:ID]]		[[Category:ID]]
	[[Category:~~Derm~~]]		[[Category:Dermatology]]

Neil.m.young at 16:03, 1 February 2016

2016-02-01T16:03:54Z

← Revisión anterior		Revisión del 16:03 1 feb 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	*''Cimex lenticularis.''		*''Cimex lenticularis''
	*Bed bug bites known as Cimicosis.		*Bed bug bites known as Cimicosis
	*Attracted to CO2, warmth, exposed surfaces.		*Attracted to CO2, warmth, exposed surfaces
	*Hide near beds, cracks, crevices. Feed at night.		*Hide near beds, cracks, crevices
	*May appear translucent (nymphs,) brown (mature bug,) red (after meal,) black (after digestion.)		*Feed at night
	*Belong to Hemiptera like kissing bugs which are vectors for trypanosomiasis (Central and South America.)		*May appear translucent (nymphs,) brown (mature bug,) red (after meal,) black (after digestion)
			*Belong to Hemiptera like kissing bugs which are vectors for trypanosomiasis (Central and South America)

	==Clinical Features==		==Clinical Features==
	*Up to 20% of patients do not experience sx. (2)		*Up to 20% of patients do not experience symptoms<ref>Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.</ref>
	*Pain immediately after bite.		*Pain immediately after bite
	*Erythematous papules, bullae, and wheals may take days to develop.		*Erythematous papules, bullae, and wheals may take days to develop
	*Classic line of bites: "breakfast, lunch, and dinner"		*Classic line of bites: "breakfast, lunch, and dinner"
	[[File:Bed bug, Cimex lectularius.jpg\|thumb\|Bed bug]]		[[File:Bed bug, Cimex lectularius.jpg\|thumb\|Bed bug]]
Línea 18:		Línea 19:
	{{Ectoparasite DDX}}		{{Ectoparasite DDX}}

	==~~Workup~~==		==Diagnosis==
	Clinical diagnosis, based on history and physical exam.		Clinical diagnosis, based on history and physical exam.

Línea 27:		Línea 28:
	*Treat systemic reactions similar to [[anaphylaxis]] (rare)		*Treat systemic reactions similar to [[anaphylaxis]] (rare)
	*Self-limited 1-2 weeks without treatment		*Self-limited 1-2 weeks without treatment
	*Eradication using pesticides and other traditional approaches.		*Eradication using pesticides and other traditional approaches

	==Disposition==		==Disposition==
	Discharge if no systemic sx		Discharge if no systemic symptoms

	==See Also==		==See Also==
Línea 38:		Línea 39:
	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>
	~~1. Schneir AB. Bites and Stings. In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011.~~

	~~2. Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.~~

	~~3. Kolb A, Needham GR, Neyman KM, High WA (2009). "Bedbugs". Dermatol Ther 22 (4): 347–52. PMID 19580578.~~

	[[Category:ID]]		[[Category:ID]]
	[[Category:Derm]]		[[Category:Derm]]

3amrbadawy: BB ref

2016-01-22T04:52:37Z

BB ref

← Revisión anterior		Revisión del 04:52 22 ene 2016
Línea 43:		Línea 43:

	2. Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.		2. Jerome Goddard & Richard deShazo (2009). "Bed bugs (Cimex lectularius) and clinical consequences of their bites". Journal of the American Medical Association 301 (13): 1358–1366. PMID 19336711.

			3. Kolb A, Needham GR, Neyman KM, High WA (2009). "Bedbugs". Dermatol Ther 22 (4): 347–52. PMID 19580578.

	[[Category:ID]]		[[Category:ID]]
	[[Category:Derm]]		[[Category:Derm]]

3amrbadawy: BB clinical

2016-01-22T04:52:06Z

BB clinical

← Revisión anterior		Revisión del 04:52 22 ene 2016
Línea 8:		Línea 8:

	==Clinical Features==		==Clinical Features==
			*Up to 20% of patients do not experience sx. (2)
	*Pain immediately after bite.		*Pain immediately after bite.
	*Erythematous papules, bullae, and wheals may take days to develop.		*Erythematous papules, bullae, and wheals may take days to develop.