Subjective
Date of visit
Reason for visit (new diagnosis, follow-up)
Symptoms:
Itching in the pubic area
Visible lice or nits (eggs) on pubic hair
Recent sexual contact
Past medical history (relevant conditions like sexually transmitted infections)
Medications (current medications)
Allergies
Objective
Vital signs (temperature, heart rate, blood pressure) – not routinely obtained unless concerning for another reason
Physical exam:
Inspection of pubic hair for lice (reddish-brown insects) and nits (small white eggs) attached to hair shafts
Examination of other hairy areas (eyebrows, eyelashes, axillae) for potential spread (uncommon)
Assessment
Pediculosis pubis (“crab lice”) infestation
Plan
Treatment:
Over-the-counter pediculicide medication (permethrin cream or lotion) applied to pubic hair and potentially other affected areas following product instructions
Retreatment after 7-10 days to kill newly hatched lice
Sexual partners should also be treated to prevent re-infestation
Patient education:
Proper application of medication
Importance of washing all bedding and clothes in hot water (at least 130°F) or dry cleaning
Vacuuming furniture and carpets
Abstaining from sexual contact until treatment is complete
Follow-up
Schedule for next appointment (if needed):
Re-evaluation one week after treatment to assess for persistent lice or nits
Note: This is a template and may need to be modified based on the individual patient’s presentation and severity of infestation.
Disclaimer: This information is for educational purposes only and should not be interpreted as medical advice. Please consult with a qualified healthcare professional for diagnosis and treatment of pediculosis pubis.