8. 9. 10. u. 5. 2 Apply wnrm compress over the boil and paint the surrounding area with tincture of iodine or povidone iodine solution 5. 3 Return to the clinic for follow-up if the boil is already uripe". Based on 1. 01 advise the patient or his companion to do the following ifhe bas patches or rings and fungal infection is suspected. 6. 1 Shave the head if sc. 1\p is affected. 6. 2 Apply calamine lotion if areil is reddislt. 6. 3 Apply antifungal ointment or gentian violet twice a day for at least three weeks. Based on 1. 0. advise the patient or his companion to do the following ifhe has small sores on the wrist, waist, genital area or between the fingers and is very itchy especially at night. The patient is most likely suffering from scabies. 7. l All household members (even il they have no complaint) must undergo the same treatmcnl. 7. 2 Bat J. 1e and scrub the whole b-ody especially the affected areas with sulfur soap and water. 7. 3 Apply bcuzyl benzoate, or any preparation for scabies, all over the body except for the face and leave it there for one whole day (24 hours) except rf househo ld member is a baby. 7-4 Bathe well the following day. 7. 5 Put on clean clothes and change the beddings. 7. 6 Was and boil contaminat ed clothes, towels and beddings. 7. 7 Repeat the procedur e twice at the most ifnecessaxy. 7. 8 Remind the patient and his companion the importance of personal cleanliness. Based on 1. 0, advise the patient or h. is companion to do the following if the skin lesion is dry, scaly and reddish. 8. 1 Take warm baths daily, gently rubbing the lesions with a soft brush. 8. 2 Apply calamine, starch solution or bland ointment containing 10% coal tar. 8. 3 Expose affected area to sunlight for 10-15 minutes everyday at around 10-11 am. Advise the patient to have a follow-up after five days. Do home visit if the patient fails. to return for a follow-up. Do the following during the follow-up. 11..1 Ask the patient or his companio n if the patient's condition ·has improved sin. ce the manageme nt was started. 11. 2 If there were some improvement, advise patient or his companion to continue the management until the signs and symptoms have disappeared completely. 11..;3 If there was no improvement, ask the patient or bis companion if any symptom developed since the last visit. 11-4 Examine the patient for any signs which could have developed since the last. visit. n. 5 Proceed. with Plan B, C or D depending on the signs and/or symptoms identified. 397 