Lectures on leeches diagnosis

2021-03-24 12:00 AM

Due to scratching itch, pustules appear, sudden spots, difficult to swollen hands and feet, secondary infection, axillary lymph nodes, swollen groin (infected leeches’ nest).

Diagnose

Position:  2 palms, foot hair (fingertips, underside, underside of fingers, mustache, palms arch, female tissue, little tissue, arch of foot hair).

Basic damage:  Deep, subcutaneous blisters, such as mosaic in the skin, size 1 - 2 mm, does not rupture.

The blisters are scattered or clustered.

Mechanical symptoms:

Severe itching:

Or recurrence, often recurs in the summer.

Due to scratching itch, pustules appear, sudden spots, difficult to swollen hands and feet, secondary infection, axillary lymph nodes, swollen groin (infected leeches nest).

Clinical form

The leeches are simple: lesions are deep blisters in the upper position.

Infection of leeches: pustules, sudden ulcers, inflammation.

The leeches are dry: the palms of the hands and feet are red, plumpy.

Differential diagnosis

Scabies:

Position between fingers, wrists.

Lesions are cavernous blisters.

To catch the scabies.

Itchy much at night.

Has a contagious nature.

Eczema hands and feet:

The location is usually on the back (pubic), hands and feet.

The cluster is red, so there should be small blisters, shallow and broken.

The lesions suddenly flowed out.

Liken has been thick for a long time. (leeches are not now likenized).

Treatment

In place:

Blisters are purely applied focmolsalicylic alcohol 3%.

Pustules, pustules and colorants (1% metin purple solution, 1% methylene blue dd).

When the lesions dry, fatty corticosteroids (Flucinar, synalar).

Body:

If there is superinfection give a course of antibiotics.

Synthetic Histamine Antibiotic: Histalong 10 mg / 1 tablet / day.

Vitamin c 0.50 2 capsules/day or ascorvit 500 mg 2 doses / day by slow intravenous injection.

Oriental medicine: 5 minutes of normal smoking (hands, feet).

Attention:

Between the hands and feet are clean.

Limit soap.

Responsible for immersion in water, dirty, and sandy soil.

In some cases, leeches are caused by fungus, the antifungal antibiotic Griseofulvin0,502 tablets / day for 30 days.

Leeches are allergic diseases, local allergenic body, stimulants are bacteria (staphylococci, streptococci): chemicals; In some cases, mushrooms.