MDM - Scabies

[##]-year-old [male/female] with [rash] with history and exam consistent with likely scabies.

Initial considerations in this patient included scabies, bed bug bites, impetigo, cellulitis, lice, fleas, drug rash, dermatitis herpetiformis, and contact dermatitis among others.

Patient presented with [generalized eruption/rash to the LOCATION] with associated linear burrows suggestive of scabies.  Patient [reports/denies] household contacts with similar symptoms.  Patient reports pruritis [that is worse at night].  Patient denies visualized bed bugs in the [home/barracks/hotel] making this diagnosis less likely.  Patient denies fever or other systemic infectious symptoms.  Discussed the importance of washing all linens and clothes in hot water or sealing all bulky items and keeping them sealed for 2 weeks.

We discussed discharge with [topical/oral] scabicidal agent for [patient/patient and all household members].  We discussed return precautions for evidence of worsening infection and recommended follow up with primary care doctor within one week and the patient demonstrated understanding and agreement with this plan.