A 20-Year-Old Just Returned from Backpacking Throughout the Country

question 16

Multiple Choice

A 20-year-old just returned from backpacking throughout the country. He was staying in campgrounds and hostels. He states he had unprotected sex twice. He comes in complaining of severe itching, which is worse at night. On examination, he has light-brown streaks around his waistline (top of pants) , and the lesions are crusting and erythematous. There are also lesions between his fingers in the webs and genital area. The genital lesions are not vesicular or sharply demarcated. The diagnosis is:

• A) scabies.
• B) pediculosis pubis.
• C) contact dermatitis.
• D) tinea cruris.

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Definitions:

Squint

A condition where the eyes do not look in exactly the same direction at the same time, often referred to as strabismus.

Meniere's Disease

A disorder of the inner ear causing vertigo, hearing loss, and tinnitus, often leading to a feeling of fullness in the ear.

Unsteadiness

A lack of stability which can result in difficulty maintaining balance, often affecting walking or standing.

Autonomic Dysreflexia

A potentially life-threatening condition that can occur in individuals with spinal cord injuries, leading to sudden high blood pressure.