A 5-year-old child is brought to the clinic by a parent due to continuously scratching their scalp for the past 24 hours.
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Get it written →A 5-year-old child is brought to the clinic by a parent due to continuously scratching their scalp for the past 24 hours. The child has a history of asthma and uses an albuterol inhaler as needed. The child attends school, but the parent is unaware of any sick contacts. Vital signs include HR of 95 bpm, BP of 103/60 mm Hg, RR of 18/minute, and T of 98.7°F. On examination, adherent white flecks are attached to hair proximal to the scalp and cannot be dislodged. What is the treatment of choice? Ketoconazole shampoo Oral ivermectin Topical 1% permethrin Topical 5% permethrin
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