I'll go over a few made up case studies -- each one is a conglomeration of kids I've seen.
Parents bring Itchy in for a well visit but mention that her skin has rashes on her elbow creases and behind her knees. Sometimes she scratches them to the point where they bleed. They've tried applying a pink fragrant lotion that they got as a baby gift, but she says it burns and didn't help.
Advice for this family would not include which of the following?
- Use the lotion more often since the skin is dry
- Stop the lotion because fragrant lotions can worsen this condition
- This type of dry skin can be related to allergies and asthma, having one makes it more likely to have another
- Controlling the itch is important because scratching worsens the rash
- If this rash would be on your own skin, how would you treat it?
- Treatment of the rash should be based on symptoms, and since there are no symptoms, no treatment is needed
- Monitor for signs of itching, fussiness, fever, poor feeding, and other concerns
- All of the above
- Treatment of a rash should be based on symptoms, and since there are no symptoms, no treatment is needed
- Use only cleansing products made for babies since your child is obviously sensitive to something
- Turn down the temperature of the water in the shower to see if the rash "resolves"
- 1 and 3
- Was there any trauma to the nails?
- Has your child been sick in the past 2 months?
- Does kiddo use nail polish or fake nails?
- Does your child pick at her nails regularly?
- All of the above.
- Using rubbing alcohol to rub off the crust
- Antibiotic ointment
- Washing the area
- Avoid touching the area
- Oral antibiotics