SOLVED1727

A 35-year-old man presents to the clinic for evaluation of pruritus. His condition started 6 months ago and is associated with rashes all over his body. He claims that a parasitic infection causes it. He has no pets, history of recent travel, or any household member having similar symptoms. He states that he has tried over-the-counter medications for it and tried removing the organisms using his fingernails, but his symptoms did not improve. His past medical history is significant for on and off cocaine use. The vital signs are blood pressure 130/90 mm Hg, temperature 37.2 °C (98.96 °F), heart rate of 80 bpm, and respiratory rate of 20 breaths/min. The physical exam shows scars on his upper and lower extremities, with no rashes, punctures, or bites on his skin. Which of the following is the best initial step in the treatment of this patient? A. Oral prednisone B. Topical permethrin C. Low dose pimozide D. Low dose quetiapine
SCIENCE
HEALTH SCIENCE
NURSING

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