headlice+in+10yr+old+child

=Headlice in 10yr old child=

//A 40yr old woman walks into your pharmacy, asking about a rash on her child's head.//

Problem
Being able to differentiate potential causes of the rash, then suggesting treatment = =

Questions to Ask
- Where is the rash located? //around the hairline -// Is it itchy? //no// - Is your child on any medication? //no// - Have you tried anything for it? //I have used a headlice cream called permethrin// - How did you use it? //I used the correct technique - leave on for 20minutes and wash off etc.// - How often did you use it? //We used it a few weeks ago, and now used it again a few days ago//

What to do
- headlice confirmed - to treat rash, keep it moisturised by using aqueous cream - continue permethrin treatment (wait until the 7 days elapses for the next application) - preventative measures: clean items that contact head (hairbrush, pillowcases, towels and hats), do not share hats at school, tie hair back - use comb and conditioner method to check for headlice - possibly suggest an alternative treatment that may have less likelihood of rash (bioallethrin)