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Peak onset is in the first three-to-seven days after childbirth.
Affects 10-to-15 per cent of mothers.
In general, is more severe than depression occurring at other times.
Risk of recurrence following subsequent pregnancies is about 50 per cent.
Mothers should be advised that all psychiatric medications are secreted in breast milk.
IN THE TREATMENT OF HEAD LICE, INSECTICIDE
Should be applied twice, with an interval of 21 days.
Each application requires at least 50ml.
In an alcohol-based lotion, is less likely to cause resistance.
Shampoos should be first choice in younger children.
Should be applied to all proven cases in the family at the same time.
IN COELIAC DISEASE IN ADULTS
Average age of diagnosis is 44 years.
Damage is caused to the small intestine by exposure to gluten (from wheat) or from similar proteins in rye and barley.
Borderline or intermittent anaemia is one of the most common presentations.
Endomysial antibody testing should be performed when the diagnosis is suspected.
Risk factors include insulin-dependent diabetes mellitus.
JUVENILE PLANTAR DERMATOSIS
Generally begins during adolescence.
Is as itchy or itchier than atopic dermatitis.
Suggested causative factors include occlusive footwear and friction.
Involved skin is erythematous and shiny.
May cause painful fissuring.
CHARACTERISTIC FEATURES OF FIBROMYALGIA INCLUDE
False. This is the ‘baby blues’. Post-natal depression peak incidence is six-to-eight weeks after childbirth.
True. While the ‘blues’ affects 50-to-80 per cent.
False. No different symptomatology or severity.
True. Important to pick it up and treat it.
True. Though tricyclics and SSRIs are thought to be safe, venlafaxine should be avoided. For any prescription, where possible, administer as a single daily dose (avoiding long-acting preparations) taken immediately after the infant’s last feed, before the longest sleep period.
False. Apply twice but at interval of seven days.
True. Up to 150ml for people with thick hair.
True. Though unsuitable for young children or those with asthma or eczema, who should use aqueous liquids or cream-rinse formulations.
False. Ineffective and should not be used in anyone.
True. And to all other proven cases in the extended family and among social contacts.
True. For every case diagnosed, another two remain undiagnosed.
True. Immune response causes villi to flatten and as the surface area of the gut reduces, so does its ability to absorb nutrients.
True. Also unexplained diarrhoea or chronic fatigue.
True. If positive, diagnosis should be confirmed with a biopsy of the small intestine.
True. Also Down’s syndrome, infertility, autoimmune and thyroid disease.
False. Self-limiting, generally resolving during adolescence.
False. Not nearly as itchy.
True. Though cause not known, many affected children wear trainers and play a lot of sport.
True. Also smooth and slightly scaly, mainly affecting plantar aspect of forefoot.
True. Main problem. Can try tar extracts or topical steroids to see if they help.
True. Overlaps with chronic fatigue syndrome.
True. For diagnosis, must have been present for at least three months, involving both sides of the body.
False. Poor sleep is characteristic.
False. Underlying problem of somatisation/pain, catastrophising.
True. Commonplace, though not invariable.