
← AMC Clinical Deep Dive31 aug · 16 min
S3E7 - Australian Scabies and Pubic Lice Management
<p><strong>Welcome to Season 3 of AMC Clinical Deep Dive! </strong></p><p><br></p><p>This episode deconstructs the ASHM guidelines for managing scabies and pubic lice (crabs). Learn critical diagnostic signs, from nocturnal itching to identifying interdigital burrows. We cover first-line treatment protocols: topical permethrin 5% (overnight, repeated in one week) for scabies and pyrethrin foam for pubic lice. Master crucial OSCE counselling points: explaining why shaving pubic hair is <em>not</em> required for crabs, enforcing the 7-day sexual abstinence rule, and coordinating simultaneous treatment for all household contacts and sexual partners to prevent re-infestation. </p><p><br></p><p>#AMCClinicalExam #ScabiesTreatment #PubicLice #Crabs #OSCE #Permethrin #IMGAustralia #ASHMGuidelines #CrustedScabies #PartnerTreatment #SexualHealth</p><p><br></p><p><strong>Pro Tip:</strong> In your OSCE, the absolute gold standard for safety is demonstrating <strong>simultaneous treatment</strong>! If you treat the patient but don't explicitly state that <strong>all household members</strong> (for the past month in scabies) and recent sexual partners must be treated <em>at the same time</em>, you risk failing the station due to re-infestation risk. Also, score major communication marks by reassuring the patient that <strong>shaving pubic hair is NOT required</strong> for pubic lice, and confirming that permethrin is <strong>fully safe in pregnancy and breastfeeding</strong>!</p><p><br></p><p>🎧 <a href="https://apwix.com/100509"></a> Episodes in <a href="https://apwix.com/100509"><strong>Season 1</strong></a> (<em>150 clinical scenarios</em>) have been indexed by <strong>topic</strong>, <strong>patient group</strong>, <strong>discipline</strong>, <strong>setting</strong>, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.</p>