=====Skin & Wounds=====
====Generalised itchy skin with rash====
  *Chronic renal insufficiency
  *Cholestasis
  *Iron deficiency
  *Polycythaemia vera
  *Hyperthyroidism
  *Lymphoma
  *Diabetic neuropathy
  *Drug-induced (eg, opioid, chloroquine, vancomycin flushing)
  *Chronic pruritus of unknown origin

====Kawasaki disease====
<wrap em>most prominent cause of acquired coronary artery disease in childhood.</wrap>\\ 
  *also known as mucocutaneous lymph node syndrome, is an acute, systemic vasculitis of small- and medium-sized arteries that predominantly affects patients younger than five years. 
  *Transthoracic echocardiography is the diagnostic imaging modality of choice to screen for coronary aneurysms,
  *Treatment for acute disease is intravenous immunoglobulin and aspirin.
Classic (typical) Kawasaki disease is a clinical diagnosis. Based on the presence of a fever lasting 5/7 or more plus four out of five:
  -bilateral conjunctival injection
  -oral changes such as cracked and erythematous lips and strawberry tongue
  -cervical lymphadenopathy
  -extremity changes such as erythema or palm and sole desquamation (usually weeks 2, 3)
  -polymorphous rash.
incomplete (atypical) - 2 or 3 findings

[[https://www.aafp.org/pubs/afp/issues/2015/0315/p365.html#:~:text=Classic%20Kawasaki%20disease%20is%20diagnosed%20when%20patients%20have%20fever%20for,1%2C7%E2%80%9312%20).|Dx and Mx Kawasaki disease AFP 2015]]
====Pruritis in pregnancy====
{{ :wiki:pruritis_in_preg.jpg?400|}}

===Prurigo===
  *intensely itchy spots - c/w pruritis in which there are no primary skin lesions
    *Primary prurigo lesions are dome-shaped or warty looking papules.
    *Secondary prurigo lesions are scratched papules which may become scaly, thick, darkened and scarring
  ***nodular prurigo** - very itchy firm lumps

  *strong FHx of atopic dermatitis
  *cause unknown
  *very difficult to treat
[{{:wiki:nodular_prurigo.jpg?200|**//Nodular prurigo//**}}] [{{:wiki:nodular_prurigo2.jpg?200|**//Nodular prurigo//**}}]

----
===Dog and cat bites===
  *general cleaning and debridement where appropriate
  *generally should be left to heal by primary intention
  *puncture wounds should be cleaned after removal of any FB (eg teeth) where relevant and left open
  *tetanus IgG, booster and antibiotics should be considered
    *antibiotics especially if deep puncture or potential breach of tendon sheath or joint

===Tetanus===
{{ :wiki:tetanus_information_for_health_professionals_2019.pdf |}}

==References include:==
https://dermnetnz.org/topics/nodular-prurigo/\\ 
https://dermnetnz.org/topics/differential-diagnosis-of-itchy-skin/\\ 
https://cks.nice.org.uk/topics/bites-human-animal/management/managing-a-cat-or-dog-bite/\\ 
[[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860924/#:~:text=Although%20most%20cases%20of%20pruritus,and%20atopic%20eruption%20of%20pregnancy.|Can Fam Phys - Pruritis in preg 2013]]\\