Lecture - Integumentary & Communicable Diseases

____ are raised fluid filled cysts.

____ are small, raised swellings

Flat and discolored areas < 1cm is called a ___.

The breakdown of skin due to prolonged moisture is called _____.

Red, brown, purple flat spots that signals bleeding under the skin is called ____.

The removal of dead tissue is called ____.

Raised itchy welts is called ____ or hives.

Feeling pain with a nonpainful stimulus is called ____.

Substances that affect the immune system to fight disease are called _____.

Anesthesia removes ___ during procedures.

____ is abnormal skin sensation like tingling, pins, and needles. ____ is inc in normal sensation to stimulation due to ___ injury or disease. ____ is the dec ability to feel sensation

vesicles; papules; macules; maceration; petechiae; debridement; urticaria; allodynia; immunomodulators; pain; parathesia; hyperesthesia; nerve; hypoesthesia

When looking at skin conditions, take a HX like ____ profile, what was ____ to them, and the timing of appearance.

Inspect the skin for the presenct of any ____ and also presenting symptoms like ____(itchy), pain, tenderness, and parathesia.

Determine if it is a ____ or secondary lesion. Determine distribution like ____ vs unilateral OR localized vs ____.

Note the configuration and arrangement like discrete, ___, diffuse, or confluent. Diffuse is spread over a ___ area. Confluent means one large ___ area.

Also note the ___ and morphology like erythemia, ecchymoissi, and petechiae.

Skin lesions can be tested via:

1. ____ or scraping

2. Microscopic analysis

3. The use of ___ work like CBC and autoimmune

4. Use of ____ light exam which is used to detect bacteria, parasites, and pigment disorders.

5. Allergy skin testing

allergy; exposed; lesions; pruritus; primary; bilateral; systemic; clustered; large; continuous; size; biopsy; blood; wood

An acute wound heals within ____ weeks. Examples include:

1. An ___ which is the removal of superficial layers of the skin via rubbing or scraping.

2. An ____ is the forcible pulling out of tissue.

3. A laceration has torn or ____ edges.

4. An ____ is made with a sharp object

5. A ___ wound is one that goes deeper like a gunshot wound.

6. A ____ is when the opening is pretty small compared to how deep it goes. An example would be a ____.

A ____ wound does not heal within expected time frame and are associated w complications. These usualy involve ____ layers of the skin. Examples include:

1. Damage to the skin due to ___ which dec blood flow and causes cell death.

2. A bacterial skin infection like _____ . This can affect other organs and lead to ____.

3. If the bacteria infects the wound, it will lead to pus, ____, pain, and swelling

2; abraision; avulsion; jagged; incision; penetrating; puncture; splinter; chronic; multiple; pressure; cellulitis; sepsis; redness

The 1st phase of wound healing starts with ____. Formation of a ____ occurs to stop the bleeding. The release of plasma leads to ____. The creation of new blood vessels called ____ also occurs here and the stimulation of WBCs like neutrophils and macrophages begin the process of _____ to remove the debris. Within the first 3-5 days, fibroblasts place ____ threads all throughout the injured sigh.

The 2nd stage can be called ____, proliferation, or granulation. This is when there is the release of ____ into the mesh spaces which forms the ____ tissue which is red, beefy, and highly vascularized. This tissue ____ easily if injured again. There is a ____ layer of epithelial tissue on top.

In the 3rd phase, collagen deposits continue during ____ to compresss new blood vessels. As the fibroblasts leave, they ____ the edges of wound together.

In the 4th phase, the fibroblasts disappear and there is progress to ___ and scar formation.

The 5th phase is called ___ in which the scar matures and becomes ___. This process can continue for ___ w variable presentation based on indivdual response to skin remodeling. This scar cannot sweat, grow ____, tan, and may bi itchy.

inflammation; clot; swelling; angiogenesis; phagocytosis; fibrin; fibroplasia; collagen; granulation; bleeds; thin; contraction; pull; maturation; maturation; paler; years; hair

Factors that influence wound healing include:

1. Promoting a ____, crust free environment

2. Nutritional management including adequate ___, calories, vitamins C/D, and zinc

Factors that delay wound healing include:

1. Traditional antiseptics that act as ____ agents. Examples include hydrogen ____ and betadine which can kill the ___ cells.

2. Exposure to _____, allergens, or other environmental agents

3. ____ w TXT or comorbidities

Signs of wound infection included:

1. Inc erythema at site or beyond the ___

2. ____ or swelling

3. ____ exudate

4. Feeling ____ at the site or beyond margins

5. An increased ____

The tangy, yellow, stringy tissue is called ____. It is nonviable dead tissue on the wound bed and needs to be ___ as it prevents new wound growth.

To improve healing, we can provide ____ support, prevent infection, debride as needed, give a recombinant ___ factor to stimulate cell growth, and do a wound ____ which helps to remove the fluid and stimulate growth of ____ tissue.

moist; protein; drying; peroxide; healthy; smoke; noncompliance; margins; edema; purulent; pain; temperature; slough; debrided; nutritional; growth; vacuum; granulation

Dressings help to eliminate ____ to other agents that might impede the healing process. The choice of dressing is based on the ___, size, location of wound, the ____ of changes, and the expected drainage amount.

Functions of dressings include: providing a ___ healing environment, protecting from ____ and trauma, minimizing ____, compression, reducing ___, used to apply meds, absorbs ____, and debride ____ tissue.

You need to be careful when using silver nitrate dresings as it can lead to silver ____.

Systemic types of therapy include:

1. _____ like prednisone, hydrocortisone, dexamethasone, etc

2. ____ like ibuprofen, naproxen, aceteminophen

3. ____ like cephalosporins

Topical types of therapy include:

1. Corticosteroids,

2. ____ like ketoconazole, clotrimazole, nystatin

3. Topical ____ like tacrolimus and pimecrolimus

For patients who experience pruritus, you want to prevent ____. You can do this by shortening the ____ and use mittens. Use antipruritic meds like ____. Use ___ compresses and cleaning solutions.

For pain, you can use nonpharmalogical methods like ____, positioning, and ice/heat. Pharmacological methods include ____ and opioids.

exposure; type; frequency; moist; infection; pain; odor; drainage; necrotic; toxicity; corticosteroids; NSAIDs; antibiotics; antifungals; immunosuppressants; scratching; fingernails; antihistamines; wet; distraction; NSAIDs

A condition in which formed vesicles erupt easily and form honey colored crusts is called _____. This is a bacterial infection caused by _____. It spreads peripherally and with direct ____. One of the most common symptoms is severe ____. The first line TXT is topical ____ followed by oral if severe. This is HIGHLY _____.

A deep infection into the dermis is called _____. This is caused by staph and _____. it consists of a large ____ that gets bigger and bigger and cause really big _____Possible symptoms include ____ and lymphangitis. It is important to keep the area clean by washing with ____ soap. Use caution when handling exposed _____ and do not share towels/clothes. This is a ____ infection meaning it can stems from a different wound. It is treated with topical systemic ____.

An infection of a hair follicle is called ____. It is most commonly caused by Staph and ____. You want to apply ____ compresses, keep area, clean, use topical antibiotics, and use ____ antibiotics for severe cases.

A ___ or a boil is a more edematous, erythmatous lesion of a hair follicle. It is also treated with antibiotics, but you may need incision and ___ to clear it out. When tehre are multiple of these, this is called _____.

impetigo; staphylococcus; contact; pruritus; antibiotics; contagious; pyoderma; streptococcus; bulla; scars; fever; antibacterial; clothes; secondary; antibiotics; foliculitis; MRSA; moist; systemic; furuncle; drainage; carbuncle

An infection of the skin and its deeper layers leading to an area that is red, tender, etc is called ____. Use can use a ____ or marker to create a marked line which will allow you to assess if the infection ____ or is regressing. They may have systemic effects like ____, lymphadentitis, etc. They need _____ antibiotics and may also require hospitalization.

When the skin is sandpaper textured, this is called ____ skin. This is mainly caused by ____. The skin then becomes wrinkled and progesses to ____ which is a fluid filled blister. Use a gentle cleaning solution like Burow’s or ______, followed by compresses of 0.25% ____ nitrate. Systemic antibiotics are given preferablly via ____.

cellulitis; pen; spread; fever; systemic; scalded; staph; bullae; saline; silver; IV

Viruses invade other cells in order to ____ themselves. These infections often lead to ___ and proliferation. Many communicable diseases present w a characteristic ____. The goal is to prevent ____, follow isolation procedures, and adminster ____ meds.

There are identified dermatophytoses which cause ___ infections. They can be present in various ___ of the body whether they are systemic or localized. Goal here is to also prevent transmission, follow ____ procedures, and adminster ___ medications.

replicate; inflammation; rash; transmission; antiviral; fungal; locations; hygiene; antifungal

The following are viral skin infections:

1. Verruca is also known as ___

2. Verruca plantaris is a __ wart.

3. HSV1 is a ____ sore.

4. HSV2 is ____ herpes. Both types of herpes are not ____ but is rather controlled with an ____.

5. Herpes zoster is called ____. It is a reactivation of the ____ virus and is extremely painful.

6. Molloscum contagiosum are ____ raised bumps. These are HIGHLY ____. It takes a ___ time to clear out of the system so it is better to catch it early on.

wart; foot; cold; genital; curable; antiviral; shingles; chickenpox; painless; contagious; long

The following are fungal skin infections:

1. Tinea capitas is ringworm in the ____ only

2. Tinea ____ is in the skin AKA ring worm

3. Tinea _____ is the groin only

4. Tinea ___ is the foot only

5. Oral candidasis is fungal infection of the ____.

TXT takes a long time — over the course of a few ____. These meds are given _____.

head; corporis; cruris; pedis; mouth; months; orally;

Contact dermititis is an inflammatory reaction that occurs due to an _____ or sensitizing agent. It is important to ____ exposure to the offending agent. Medications aim to relieve symptoms and reduce ____.

This is common when people are exposed to poison ivy, oak, and sumac in which they are exposed to the offending agent called ____ which is an oily substance. Classic lesion presentation includes _____ that is localized, oozing, painful, and may be ____ or spotty. Remove the offending agent by cleaning skin w ____ water. Prevent a ____ infection by using meds and soothing lotions.

Skin drug reactions includes ____-johnsons syndrome and uritcaria. These reactions can be due to ___ of the meds, individual ____, and allergic reactions. A drug eruption is a ____ rash that occurs due to a med. A ____ eruption is when the lesion only happens at one specific location.

irritant; limit; inflammation; urushiol; itching; streaked; cold; secondary; stevens; toxicity; tolerance; widespread; fixed

Skin orders related to animal contacts include:

1. Insect bites like ____, flies, gnats, flears

2. Chiggers which is caused by ___

3. Hymenopterans include ___, wasps, fire ants, yellow jackets, etc.

4. Spiders including ____ widow and brown recluse

5. Scoprions and ticks.

Monitor the patient for ____ and use a med attention ___ for severe allergies. You can give ____ pen for severe allergies.

mosquitoes; mites; bees; black; anaphylaxis; bracelet; epinephrine

Pediculosis is also known as ___. It can occcur in multiple areas and has a ____ degree of transmission. It is important to _____ the entire TXT which consists of pediculicides and the removal of ___ ot the eggs.

They like to lay eggs near the ___ of the hair bc its nice and warm.

Its important to do continuous inspection and ____ of any self-care products for that individual. Machine wash the clothes w ____ water and a hot dryer for contact products. You can also remove any nonwashable clothes or items and seal them in plastic bag for at least ____ days.

Meds can include _____ 1% cream rinse (NIX) or pryrethrin and piperonyl _____ (RID) which are both OTC.

Family education includes no need to leave ___, wash all clothes/linens, thoroughly clean ___ grooming products like combs.

lice; high; complete; nit; shaft; isolation; hot; 14; permethrin; butoxide; school; hair

An endemic infection by scabies mite is clalled ____. This occurs when a pregnant female burrows into the skin and leaves her ____ there. It leads to ___ lesions that are continuously present. These are extremely ____ and the mite tends to want to go to places that warm like the _____. It has a ____ degree of transmission. It is treated with _____. It is important to prevent ____ infection nad also make sure anyone in close ____ w the patient must also be treated.

scabies; feces; widespread; itchy; groin; high; scabicides; secondary; contact

The most common tick-borne disorder in the US is called ___ disease. There are 3 stages:

1. The early localized disease which has the classic ____ lesion.

2. The early disseminated disease which can lead to _____ symptoms like fever, chills, ____/joint aches, etc.

3. The third stage spreads to other ____ and has systemic effect.

There is no ___ test in early stages for DX. Early TXT includes ____ for older adults and _____ for younger people.

This can progress into tick worm _____.

Nursing management includes:

1. Protecting area frm ____

2. Use of insect ____but be careful of DET.

3. Use permetrhin- treated ____ which has shown to be effective. Also cover up by wearing ___ sleeves, tucking pants into socks.

4. Try to ___ the bug and bring to dr.

5. Remove the tick by using it with ____. Wash the bite area with ___ scrub, rubbing alcohol, or plain soap/water.

lyme; bullseye; constitutional; muscle; organs; definitive; doxycycline; amoxicillin; encephalitis; exposure; repellant; clothing; long; keep; tweezers; iodine

For pet bites, it is important to prevent this by educating the pt abt _____ animals. ____ the wound and medical TXT when indicated. Check the animal for ____.

For a human bite, ____ the wound and provide medical TXT as needed as these can be ___ than an animal bite. Check for the ___ toxoid.

For a cat sratch, this is mostly self ____ but ___ may be used.

approaching; rabies; clean; worse; tetanus; limiting; antibiotics

Diaper dermititis is more commonly found in ____. It is due to constant ___ b/w the baby and the diaper. It is an ___ inflammatory response. There may be a compound presentation with ___ or fungal infection. The TXT includes ensuring the skin is ____, exposing it to ____, and changing the diaper when it is ____. Topical meds include ___ and topical antifungals.

Atopic dermatitis is also called _____. It is a ____ and recurrent inflammatory process. These can lead to _____ infections. The patient will experience lots of ____ and this is influenced by both genetic and ____ factors. You want to keep the skin ____ and use meds like _____(itchiness), topical _____, and immunomodulators like ____ and primecrolimus.

____ dermatitis is also called cradle cap. This is a chronic recurrent inflammatory process is not associated w positive ___ HX. These appear as yellow, ____, oily patches. You want to cover the site with ___, and then take a brush to ___ it off. You can also use anti seborrheic _____.

infants; touching; acute; yeast; dry; air; soiled; zinc; ezcema; chronic; secondary; itchiness; environmental; moist; antihistamines; corticosteroids; tacrolimus; seborrheic; family; scaly; oil; scrape; shampoo

The most common skin disorder treated during adolescence is called ____ ____. TXT starts w cleasnign with gentle and ____ soaps. Then we can advance to ____ products. Promote a lower ___ diet.

This is common during pubtery due to inc in ____ which inc oil production and clogs the pores.

Meds include benzoyl ____, tretnoin, isotretinoin AKA _____, hormones like ____ contrl, and for severe cases antibiotics can be used like the ____.

acne vulgaris; nondrying; OTC; fat; testosterone; peroxide; accutane; birth; cyclines

Standard precautions include ___protection from bloody or bodily fluids. This includes respiratory hygiene and ____ etiquette. It includes hand hygiene and safe ___ practices.

Airborne precautions are applied to diseases that spread via ____ particle or evaporated dropelets or dust. Patients should be placed into a _____ pressure isolation room. PPE includes: glove, gown, and ____.

Droplet precautions are applied to diseases that spread via ___ particle droplets. Examples include coughing, ___, speech, and cry. PPE includes glove, gown, and ____.

PPE for contact precautions include: gown, glove, and good _____.

The #1 way to prevent infection is to wash ___.

barrier; cough; injection; small; negative; mask; large; sneezing; mask; handwashing; hands

The nurse’s role in immunizations include:

1. Be familiar w the vaccine ___ which is anually updated

2. De prepared for ____ reactions and aware of contraindications and precautions.

3. Ensure parenteral ____ prior to adminstration. Document the ____ number and the ____ date of the vaccine. Provide safe ____ by knowing where to give it.

4. Provide vaccine info to family and ___ guidance.

schedule; adverse; consent; lot; expiration; adminstration; anticipatory

Immunizations for infants include:

1. Hepatitis ___ which is the only vaccine given at birth

2. ____ which is given in infancy only

3. Dtap and HiB; Dtap is only given up to ____ years in this specific formulation.

4. PCV13 which is ____

5. IPV which is ____

6. IIV which is inactivated ____. This is given at 6 months and then repeats every ____.

1 year and older include MMR, ____(chickenpox), and hepatitis ___. Tgese are considered ___ vaccines and are ____ meaning they stimulate a weak immune response.

For school-aged children they get MenACWY, TDaP, ____, and MenB.

THe usual common side effects include _____, local reaction, fever, irritability, and ____. Moderate to severe effects include:

1. ____ for varicella, MMR, and Dtap

2. _____ for MMR

3. Anaphylaxis

4. Guillian Barre for the ___

B; rotovirus; 7; pneumococcal; polio; flu; year; varicella; A; live; attenuated; HPV; soreness; nausea; seizures; thrombocytopenia; flu

The incidence of communicable diseases has dec due to ____ which is the #1 destroyed. The #1 way to stop infection is via ____ your hands.

The nurse should be familiar with infectious ____, recognize disease during HX and ____, and institute proper ____ and supportive measures like isolation.

If they suspect a communicable disease, take a HX of if it is a ___ exposure, a community exposure, and any ____ symptoms which occur before the full blown issue. This can be like a fever or ____.

vaccines; washing; agents; exam; prevention; known; prodromal; rash

Varicella—zoster is a ___ infection that causes ____. Transmission is via direct _____ and respiratory ____

In the prodromal stage, the patient may have a slight fever and ____. Then clinical manifestations can include a ____ rash that begins as a macule and then becomes a ____ that erupts which may not all appear at the same time. The rash is typically ___ moving in that it is found in extremeties and face.

Precautions include contact and ____.

TXT includes ____ therapy, antiviral, VZIG, giving IV ____, and the main thing is to prevent ___ infection due to the acting.

The child is contagious a day ___ a rash appears and until the vesicles are ____.

This can be prevented via ____.

viral; chickenpox; contact; secretions; malaise; pruritic; vesicle; centripetal; airborne; supportive; immunoglobulins; secondary; before; crusted; immunizations

Corynebacterium diphtheraie causes the ____ disease. This is transmitted via direct ___ w the person or with any contaminated _____.

Clinical manifestations resemble symptomes of an ____ which progress. Classic signs include a ____ neck which is swelling of the neck. Other symptoms include white or ____ mucous membranes, fever, and cough.

TXT includes ____, bed rest, and support.

Precautions include ____ and contact.

diphtheria; contact; articles; URI; bulls; gray; antibiotics; droplet

The epstein barr virus is also known as _____ or kissing virus. It is spread via ____ or bodily fluids.

Clinical manifestations include intenste ___, rash, fever, inflamed ____, cervial lymphadenopathy, ____(enlarged organ), and swollen liver. This is pretty ____.

TXT includes ___ care.

Precautions include standard precautions, but ____ people should avoid as it can damage the fetus.

mononucleosis; saliva; fatigue; throat; splenomegaly; painful; supportive; pregnany

The agent parovirus B19 causes ____ infectiosum or Fifth disease. Transmission is via respiratory _____ or via direct contact with ___ or bodily fluids.

Clinical manifestations include:

1. A persistent ____ for 3-7 days in child who is otherwise well appearing

2. A sudden _____ cheek appearance like a rash. At this point, the patient is no longer _____

3. The patient may experience ____ symptoms like coughing

TXT includes _____ care. Precautions include ____ if hospitalized.

erythema; droplet; blood; fever; slapped; contagious; URI; supportive; droplet

The agent paramyxovirus causes ____. Transmission is via resp ____ or ____.

Clinical manifestations include prodromal symptoms like fever, ____, headache, ____ aches, and loss of ____. The hallmark sign is _____ which is painful swelling of the parotid salivary gland.

TXT is supportive and aims to treat the ____.

Precautions include droplet and ____.

mumps; droplet; saliva; fatigue; muscl;e appetite; parotitis; symptoms; contact

Measles is caused by the measles ___. Transmission is via direct contact from respiratory ____.

Clinical manifestations include:

1. In the prodromal state: fever, malaise, progressing to _____ which is a combination of runny nose, cough, and _____.

2. Koplick spots on the mucosa which are ______ spots with a ring around them.

3. An appearance of a ___ in day 3-4 of illness

TXT includes the use of _____ for secondary bacterial infections, bed ___, and support.

Precautions include ___ if in hospital until day ___ of the rash.

virus; droplet; coryza; conjunctivitis; bluish; rash; antibiotics; rest; airborne; 5

The agent bordetella pertussis causes pertussis which AKA as _____ cough. This is a ____ infection that is transmitted via direct contact with ______.

Clinical manifestations include:

1. In the Catarrhal stage (early), this will experience ____ symptoms for 1-2 weekns

2. In the paroxysmal stage, the hallmark symptom includes a short and rapid ____, followed by a high pitched ____ “whoop” or gasp and 4-6 weeks of ____ may occur during this episode.

TXT includes supportive during hospitalized with ____, humidity, careful oral ____, and hydration. Antibiotics may be used in the ___ stages as it wont do much for the cough.

Precautions includes _____.

whooping; bacterial; droplet; URI; cough; crowing; cyanosis; suction; feedings; early; droplet

The rubella virus causes rubella or the ____ ____. Transmission is via direct contact from ____.

Clinical manifestations include a low grade ____, headache, malaise, and a sore ____. The hallmark sign is a _____ with pinkish macules. It starts on the ___ and then spreads over the whole body by the end of the day. It should ____ in the order that ti appaears.

TXT includes _____ and symptomatic.

Precautions include ____. Also ensure no ____ personnel go to hte patient as it can cause defects.

german measles; droplet; fever; throat; rash; face; disappear; supportive; droplet; pregnant

The Group A beta-hemolytic streptococci causes ____ ____. This is a ____ infection that is transmitted via direct contact from ____.

Clinical manifestations include:

1. In the prodromal stage: abrupt high ____ and ____ which is bad breath.

2. Enanthema in which the ____ are large, edematous, and covered with exudate.

3. The hallmark sign is a ____ tongue in which there is a red bumpy texture.

4. Exanthema: a ___ like pink rash on the upper body.

TXT includes ____ and supportive care.

Precautions include ___ until 24 hr of antibiotics.

If untreated this can progress to ______.

scarlet fever; bacterial; droplet; fever; hallotosis; tonsils; strawberry; sandpaper; penicillin; droplet; glomerulonephritis

The flu is caused by the Influenza _____. This virus can ___ from year to year. Transmission is via direct contact with respiratory _____.

Clinical manifestations include an abrupt ___, malaise, anorexia, and ____-like symptoms which progress.

TXT includes _____ if detected within first 24 hrs, supportive, and symptomatic care.

Precations include ___.

virus; vary; secretions; fever; URI; antiviral; droplet

The poliovirus causes ____ or poliomyelitis. Transmission is via contact with respiratory ____ or from infected ____

Clinical manifestations include flu-like symptoms which can progress to meningitis or _____. Eventually the ____ would be paralyzed leading to the need of iron lung.

TXT includes ____ care.

Precautions include _____.

polio; droplet; feces; paralysis; diaphragm; supportive; contact

Streptococcal pneumococi leads to _____ disease. This is a ____ infection and transmission is via direct contact with respiratory ____ affecting children under ___ years old most commonly.

Clinical manifestations include ____, sinusitis, _____ media, and localized infections.

TXT includes ____ and supportive care.

Precautions include ____.

pneumococcal; bacteria; secretions; 2; pneumonia; otitis; antibiotics; droplet

______ is also known as pink eye. It can be bacterial or viral and transmission is via direct ____.

Clinical manifestations include a pink conjuctiva, usually with drainage that forms a _____.

1. For viral infection, it usually appears ___ to viral illness and usually clears on its own in 7-14 days.

2. For bacterial infection, it starts in 1 eye and can ____ to the other.

For viral infection, use supportive care, baby ___ eye washes, clean the site, and use ____ compresses.

For bacterial, use antibiotic eye ____ or ointment.

____ precautions are used.

conjuctivitis; contact; crust; secondary; spread; shampoo; warm; drops; standard

Inflammation of the oral mucosa is called ____. There are types:

1. Aphthous ulcers are also called ___ sores. These are due to ____ or an immune response

2. Herpetic gingivostomatitis is an actual ___.

The goal is to relieve pain by using ___ and topical anesthetics.

Prevent the spread of illness by meticulous ___ washing and preventing ____ transmission.

stomatitis; canker; stress; infection; NSAIDs; hand; oral

The most frequent infection worldwide are via _____ parasites. The ____ children are at highest risk.

The most common types in the US include:

1. ______ which is caused by protozoan Giardia intestinalis. Transmission is via direct contact with contaminated ____ and water. TXT is via ____ or tindamax and prevention of reoccurence.

2. Enterobiasis AKA _____. This is caused by Enterobius vermicularis and nematode causes _____ worm. Tranmission is via inhalation/ingestion of ____ from contaminated hands. DX is via a ____ test. TXT includes pyrantel ____ or albendazole X1 and then again in 2 weeks. Treat ___ members and prevent reoccurance and encourage adequate ____ washing.

Overall ____ smears are diagnostic.

intestinal; young; giardiasis; food; flagyl; pinworms; round; eggs; tape; pamoate; family; hand; fecal