Sleep tight and don’t let the bed bugs bite

Sleep tight and don’t let the bedbugs bite

Sleep tight and don’t let the bedbugs bite

Sleep tight and don’t let the bed bugs bite Sleep tight and don’t let the bedbugs bite

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Question 1 of 3

1. Question
Which of the following options is a diagnostic feature of this patient’s rash caused by bed bugs?
- Rash affects the torso more than the extremities
- Bites are classically linear in a group of three spots
- Itching gets worse during the night
- Thread-like tracks appear, measuring up to 1cm
- Rash is typically found in-between the web spaces of the palms and soles
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Question 2 of 3

2. Question
Which of the following options is the best initial management of this patient’s rash in the Emergency Department (ED)?
- Advise her to apply hydrocortisone cream and take an antihistamine
- Advise her to return if the rash starts spreading and becomes hot and painful
- Advise her to stop scratching and apply topical permethrin 5% cream
- Prescribe her melatonin and ask the GP to review
- Prescribe her prophylactic flucloxacillin
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Question 3 of 3

3. Question
The patient is concerned that the bed bugs may transmit diseases and cause complications after the bite. What would be your most appropriate management on discharge from ED?
- Advise her to see her GP for a medical check-up in several months’ time
- Advise her to see her GP if she develops any further symptoms
- Explain the high risk of developing anaemia secondary to bed bug bites
- Reassure her that bed bugs are not known to transmit diseases
- Reassure her that you will send a referral for follow-up with the local infectious diseases team
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