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	<title>Comments on: What&#8217;s The Diagnosis #11</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: DefendUSA</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25473</link>
		<dc:creator>DefendUSA</dc:creator>
		<pubDate>Tue, 31 Aug 2010 20:20:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25473</guid>
		<description><![CDATA[My girls have had HL multiple times. The last time I used my Gram&#039;s remedy. Vaseline on the head for 24 hours in a closed shower cap. Sweaty and hot, yes. Then a treatment of NIX. But combing those little buggers out and no more hatching was awesome. 
Both now hate to have the back of their neck messed with because of all the combing. Boys never got them. They are the nastiest things I have ever seen.
Now my head itches! :)]]></description>
		<content:encoded><![CDATA[<p>My girls have had HL multiple times. The last time I used my Gram&#8217;s remedy. Vaseline on the head for 24 hours in a closed shower cap. Sweaty and hot, yes. Then a treatment of NIX. But combing those little buggers out and no more hatching was awesome.<br />
Both now hate to have the back of their neck messed with because of all the combing. Boys never got them. They are the nastiest things I have ever seen.<br />
Now my head itches! <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>By: Jules</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25237</link>
		<dc:creator>Jules</dc:creator>
		<pubDate>Sat, 28 Aug 2010 00:04:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25237</guid>
		<description><![CDATA[An even better solution would be to use reusable bags :)]]></description>
		<content:encoded><![CDATA[<p>An even better solution would be to use reusable bags <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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		<title>By: CholeraJoe</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25206</link>
		<dc:creator>CholeraJoe</dc:creator>
		<pubDate>Fri, 27 Aug 2010 16:18:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25206</guid>
		<description><![CDATA[Qwell worked just fine when I got the crabs from that red-headed stew in Ontario.]]></description>
		<content:encoded><![CDATA[<p>Qwell worked just fine when I got the crabs from that red-headed stew in Ontario.</p>
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		<title>By: Brenda</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25141</link>
		<dc:creator>Brenda</dc:creator>
		<pubDate>Thu, 26 Aug 2010 13:36:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25141</guid>
		<description><![CDATA[Bactrim has been used for lice for a while.  (at least as far back as British Journal of Dermatology 1978--I can&#039;t find the full article on line but here is a link http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1978.tb03591.x/abstract  
One theory I have heard is that it kills the symbiotic bacteria in the louse.
Ulesfia seems to work but epocrates lists it at about $45/bottle and you will probably need 2 bottles or more per patient]]></description>
		<content:encoded><![CDATA[<p>Bactrim has been used for lice for a while.  (at least as far back as British Journal of Dermatology 1978&#8211;I can&#8217;t find the full article on line but here is a link <a href="http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1978.tb03591.x/abstract" rel="nofollow">http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1978.tb03591.x/abstract</a><br />
One theory I have heard is that it kills the symbiotic bacteria in the louse.<br />
Ulesfia seems to work but epocrates lists it at about $45/bottle and you will probably need 2 bottles or more per patient</p>
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		<title>By: Aaron</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25132</link>
		<dc:creator>Aaron</dc:creator>
		<pubDate>Thu, 26 Aug 2010 09:39:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25132</guid>
		<description><![CDATA[Bactrim might be a prophylactic against any complications, but if the manifestation is that worrisome a shave as mentioned above is warranted.

Early in High school I picked up a lice infestation in my head hair, of a variety other than the head sort. I was prescribed a shave and bactroban bid covering the whole scalp. Contemporary me might have opted for an old fashioned kerosene massage after the shave.

Contemporary me though would have not won out over high school me in making the decision that lead to contracting pubic lice in my scalp I will humbly admit. On a male child though a complete head shave in my case was minimal in its potential emotional trauma.

I wonder though if the original practitioner might benefit from an retirement offer or contract buyout from the local hospital forcing retirement. Head lice are pretty f-ing big critters and if a medical practitioner can&#039;t spot them, then I wouldn&#039;t trust them to read the printed language at any commonly sized font.]]></description>
		<content:encoded><![CDATA[<p>Bactrim might be a prophylactic against any complications, but if the manifestation is that worrisome a shave as mentioned above is warranted.</p>
<p>Early in High school I picked up a lice infestation in my head hair, of a variety other than the head sort. I was prescribed a shave and bactroban bid covering the whole scalp. Contemporary me might have opted for an old fashioned kerosene massage after the shave.</p>
<p>Contemporary me though would have not won out over high school me in making the decision that lead to contracting pubic lice in my scalp I will humbly admit. On a male child though a complete head shave in my case was minimal in its potential emotional trauma.</p>
<p>I wonder though if the original practitioner might benefit from an retirement offer or contract buyout from the local hospital forcing retirement. Head lice are pretty f-ing big critters and if a medical practitioner can&#8217;t spot them, then I wouldn&#8217;t trust them to read the printed language at any commonly sized font.</p>
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		<title>By: Brenda</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25112</link>
		<dc:creator>Brenda</dc:creator>
		<pubDate>Wed, 25 Aug 2010 23:04:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25112</guid>
		<description><![CDATA[I find it hard to believe a pediatrician missed this twice. We see it on a regular basis.  I use nix and lots of combing to treat.  Some pediatricians I know are using bactrim.]]></description>
		<content:encoded><![CDATA[<p>I find it hard to believe a pediatrician missed this twice. We see it on a regular basis.  I use nix and lots of combing to treat.  Some pediatricians I know are using bactrim.</p>
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		<title>By: Aaron</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25103</link>
		<dc:creator>Aaron</dc:creator>
		<pubDate>Wed, 25 Aug 2010 17:33:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25103</guid>
		<description><![CDATA[Sounds like the aptly named &quot;dog tick.&quot; Those are big (at least for ticks) even before they bite and they aren&#039;t quite the disease carriers that their smaller venison affiliated brethren are.]]></description>
		<content:encoded><![CDATA[<p>Sounds like the aptly named &#8220;dog tick.&#8221; Those are big (at least for ticks) even before they bite and they aren&#8217;t quite the disease carriers that their smaller venison affiliated brethren are.</p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25102</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Wed, 25 Aug 2010 17:26:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25102</guid>
		<description><![CDATA[I missed that.  Clever!]]></description>
		<content:encoded><![CDATA[<p>I missed that.  Clever!</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25091</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Wed, 25 Aug 2010 16:12:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25091</guid>
		<description><![CDATA[Wish I had thought of that one-liner. 
I&#039;m stealing it for my lectures to the residents - with due credit, of course.]]></description>
		<content:encoded><![CDATA[<p>Wish I had thought of that one-liner.<br />
I&#8217;m stealing it for my lectures to the residents &#8211; with due credit, of course.</p>
]]></content:encoded>
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		<title>By: tracy</title>
		<link>http://www.epmonthly.com/whitecoat/2010/08/whats-the-diagnosis-11/#comment-25082</link>
		<dc:creator>tracy</dc:creator>
		<pubDate>Wed, 25 Aug 2010 14:33:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=5399#comment-25082</guid>
		<description><![CDATA[Hee, Patrick, funny!  :)]]></description>
		<content:encoded><![CDATA[<p>Hee, Patrick, funny!  <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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