Rashes in in skin folds ( intertrigo ), such as under your breast, are generally caused by the following: viral or bacterial infections such as shingles (viral) or yeast (bacterial) skin friction. . Three months of abdominal pain : relieved by defecation. Gatifloxacin 0. What is intertrigo? Intertrigo describes a rash in the flexures, such as behind the ears, in the folds of the neck, under the arms, under a protruding abdomen, in the groin, between. pyogenes (Group A strep) [1] Peak season is late winter / early spring [1] Transmission is respiratory secretions [1] Incubation period is 24-72 hours [1]Persistent unpleasant sensations attributable to the bladder, can include pressure, spasms, or discomfort. Slideshow. Middle Ear inflammation: erythema of TM or otalgia. 2001;155 (12):1329-1334. α-2 agonist, BP effects within 30-60 min after PO dose. See full list on wikem. altered stool passage. High uric acid. Additional symptoms: Tooth pain. 4. Fetal Effects in pregnancy. Not considered an STI although it can be transmitted by. Friction between skin folds. 25mg)/5mL. ↑ Liu C, Bayer A, Cosgrove SE, et al, “Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections in Adults and Children: Executive Summary,” Clin Infect Dis, 2011, 52(3):285-92. Also helpful for extremities, sole of foot. Infection thrombophlebitis - Associated with prolonged IVs and is the only thrombophlebitis to require antibiotics. Tinea cruris is usually itchy. 3% (1 in 300) and 0. We would like to show you a description here but the site won’t allow us. associated with change of stool freq. , "in excess of 30 minutes". g. Management. 2015; 53(1):5-12. Tinea Cruris (Jock Itch) Tinea cruris is a dermatophyte infection of the groin. Onset up to 30 min, duration 2 hrs. Postoperative pain at site of recent tooth. 1+ - 30mg/dl. (See "Intertrigo". More extensive persistent mucous membrane infections occur in. Breast abscesses develop most commonly when mastitis or cellulitis does not respond to antibiotic treatment, but an abscess can also be the first presentation of breast infection. Intertrigo develops when the combination of friction and trapped moisture softens and irritates the skin and causes it to break down. It is caused by an enterovirus, primarily coxsackievirus A6. The majority of the posterior epistaxis episodes arise from the septum. Normal whole placenta (maternal side). Direct toxicity of salicylate species in the CNS. Sepsis should be defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1] The infection is most commonly by bacteria, but can also be by fungi, viruses, or parasites [2] Risk of death from sepsis being as high as 30%, severe sepsis as high as 50%, and septic shock as high as 80% [3] The most common. It helps to have your finger in the tract and pass the tube along your finger, particularly in obese patients. Indications to Image Thoracic and Lumbar Spine after Trauma. Intermenstrual bleeding: variable amounts between regular menstrual periods. Intertrigo's Latin translation, inter (between) and terere (to rub) helps explain the physiology of the condition. Diagnosis is by clinical appearance and by potassium hydroxide wet mount. Phenylephrine. Bacterial Conjunctivitis. Ventricular dysrhythmias. EC goes away on its own, and serious complications are rare. Our highly acclaimed content is. 14 units/kg/hr of insulin (or 0. related to a change in stool consistency. Major Points. A noncontrast head CT indicate in head trauma patients with LOC or post-traumatic amnesia only if ≥ 1 of following is present: Headache. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. 4 Cellulitis and Other Skin Infections; 3 Pediatric Dosing. Aspiration pneumonia. Apply padding (if applicable) Use 2–3 layers over the area to be splinted / between digits (when applicable) Add an extra 2–3 layers. WikEM Bureaucratic Portal. 4 unit bolus, then infuse at 0. 3-7 days of bleeding. If med adherence is an issue [2]Other Medications. May be acute or chronic. Intertrigo may present as an erythematous mirror image patch along a skin fold. The most benign infections are characterized by local. Authors: Ross Donaldson. intraocular foreign bodies. Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals. Neurologic dysfunction that varies without gross lesions (ie patients have trouble with memory, attention, and executive functioning. May develop a fever and lymphadenopathy. Candidemia and acute. At least 100,000 deaths per year may be directly or indirectly related to DVT and PE. Deviated trachea, flail chest, sucking chest wounds, asymmetric breath sounds, chest wall crepitus, etc. Balanoposthitis refers to inflammation of the glans penis and prepuce. 05units/kg/hr IV OR give subQ 0. Risk factors (prevalence can reach up to 50% in these populations): Age under 18. It has a raised border and hollow center. 1. Orthopedic emergency. Consult hand surgery regarding possible reimplantation vs revision amputation. Lack of air circulation. Intertrigo is a superficial inflammatory skin condition of the skin's flexural surfaces, prompted or irritated by warm temperatures, friction, moisture, maceration, and poor ventilation. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Does involve 4th-5th intertarsal junction. Common points of entry include intertrigo in the toe webs of the feet, tinea pedis, onychomycosis, and lower extremity ulcers. Standard maxi drip sets between 10-20 ggt/ml. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Penetrating trauma to the lower third of the face frequently requires intubation or a surgical airway [1] Place a protective shield over an eye suspected to have a ruptured globe. Clamp the prox end of the chest tube and pass it along the tract into the pleural cavity. When to See a Doctor. ; The germinal portion is proximal. 3 Uncomplicated UTI; 2. Management. Forcing the tube may separate the stomach from the abdominal wall and result in intraperitoneal placement of the G tube. Enterobius vermicularis. Keeping the elbows adducted, ask the patient to slowly lean head back and allow shoulder to roll forward. Migratory thrombophlebitis - Recurrent in multiple differing sites and often associated with malignancies. Measure SBP from both brachial arteries using cuff and handheld Doppler over the AC fossa. 2. Type 2: Myocardial Infarction Secondary to an Ischemic Imbalance. 4mg tab during 5 min = ~80 mcg/min (2 tabs = ~160 mcg/min, etc. Antifungal creams or antifungal medications given by mouth usually cure. Must distinguish from Herpes gingivostomatitis. 1 mg q1 hr PRN, max 0. K, oblique fibers of the PDL. Nonpregnant: doxycycline 100 mg PO BID x 7 days. Ceftriaxone 500 mg IM in a single dose PLUS. Dental Anesthesia. Approximately 75 percent of cases of anal pruritus are secondary to inflammatory, infectious, systemic, neoplastic, and anorectal disorders that contribute to or underlie the development of pruritus [ 2,3 ]. Agent Oral Parenteral Step1. Diagnosis is by. Contents. Headache, Nausea, Diarrhea, Dizziness, Sleep Disturbance. Often abbreviated as ANUG. Nonbullous. More extensive persistent mucous membrane. AP, lateral, oblique views (internal for lateral plateau, external for medial plateau). Colonic blood supply. 75 mg/kg/alternate day. Wet mount shows clue cells: vaginal epithelial cells with "stippled appearance" due to coverage by bacteria. LOOP Technique. Abdomen: Neg rebound murphy or pain over Mcburneys point. 1)The perinychium includes the nail, the nailbed, and the surrounding tissue. Different types of diaper rash can include irritant contact dermatitis, infections, eczema, intertrigo, and psoriatic. Perforation can be due to multiple mechanisms but is generally either mechanical (e. This is called a “herald patch” or “mother patch. The acceptable degree of ST elevation in V2 and V3 changes based on age and gender. 5mg, max 25mg. It is caused by moisture, warmth, friction, sweat retention, and infectious agents. Option 1: Make semi-circle incision inside the inner curvature of the helix or antihelix. Initiation of nutrition. Stage II: Quiescent phase with resolution of GI symptoms and apparent clinical improvement. Occurs after a blunt force or acceleration-deceleration head injury. Most common presenting sign. can reliably be achieved with Nerve Block: Infraorbital. NYSTATIN (nye STAT in) treats fungal or yeast infections of the skin. For persons weighing ≥150 kg, 1 g of ceftriaxone should be administered. May spread to perineum, perianally, onto buttocks, or into gluteal cleft. Estimates are up to 15% of pregnancies end in a 1st trimester abortion, usually due to fetal chromosomal abnormalities. The rash may be sore or itchy. tend to cause more side effects (heavy/irregular menses. Staphylococcal scalded skin syndrome. Enterococcus faecalis, Enterococcus faecium ) May cause bacteremia in the proper clinical setting ( UTI, intra-abdominal infections, infected vascular catheters, and endocarditis) [5] Strep. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission. ) DEFINITION. Swelling is asymmetric, nonpitting, and nonpruritic, however can be associated with allergic features depending on cause. MAP of 110 or target BP of 160/90) Nicardipine in ICH: Start at 5mg/hr, increase 2. [1] Continuum of disease - Plugged ducts → engorgement → non-infectious inflammation → infectious inflammation → abscess. Figure 2A of Edlow & Newman-Toker "Using the physical exam to diagnose patients with acute dizziness and vertigo" J Emerg Med 2016 I think would make a much more appropriate choice to replace this algorithm. Diagnostic of portal hypertension with 97% accuracy [7] SBP rarely develops in patients without portal hypertension. Not considered an STI although it can be transmitted by sexual intercourse May occur in premarnarcheal girls (rare) Types Uncomplicated Clinical Features. Abrupt onset of lateral foot pain, with no prior history of pain at that site, suggests acute injury and helps distinguish from stress injury. Institutionalized. Open lesion (day 4): Vesicles break open and merge to create one big, open, weeping ulcer. Drape joint in sterile fashion. 6 mg/dL or RR ≥ 30/min or age ≥ 65 or SBP < 90 mmHg or DBP ≤Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. ↑ Rodrigo GJ, Rodrigo C. , appendicitis, diverticulitis, perforated peptic ulcer, penetrating trauma) and often requires immediate surgical intervention. Due to increased pulmonary vascular permeability. Erysipelas is an infection involving the skin but not the subcutaneous tissue found in patients with cellulitis. Rare gas-forming infection nearly always occurring in patients with DM and obstruction. 35, OR blood-ascites pH gradient >0. Evacuate the clot. “Yeast” suggests Candida spp. Type 1: Spontaneous Myocardial Infarction. Increased in patients with periodontal disease, chronic colonization of upper airways, or taking PPI/H2. Tinea Cruris (Jock Itch) Tinea cruris is a dermatophyte infection of the groin. Interpretations of Key Phrases. The most common areas include: Intertrigo can also affect the skin between the buttocks. 3-drug regimen recommended options: Cefepime 1-2gm q8-12h OR ceftazidime 2gm q8h + Levofloxacin 750 mg PO/IV every 24 hours + Vancomycin 15mg/kg q12 OR. Specialty. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. Mnemonic: 3 D's--dysmenorrhea, dyschezia and dyspareunia. [1] : 309 See also [ edit ] Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. Bullous. For partial avulsion, gently lift nail but do not remove to inspect nail bed for laceration. Contents. Background. Contents. Worldwide distribution. Imipenem 500mg q6hr + cipro 400mg q8hr + vanco 15mg/kg q12 OR. This rule was derived from the multicenter PECARN network with both a derivation and validation arm to detect clinically important traumatic brain (ciTBI) injury in children to age 18yrs old after blunt head trauma. Pink - supply from superior mesenteric artery (SMA) and its branches: middle colic, right colic, ileocolic arteries. Age> 60. If microperfs become infected/inflamed, can lead to diverticulitis. Headache, Nausea, Diarrhea, Dizziness, Sleep Disturbance. Associated with DM and Renal Stones. Nausea/vomiting noted in most. 2 Definitions; 1. Intestinal ischemia. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Do not over-reduce a lateral compression fracture (places increased strain on post pelvis) Placing pelvic binder in vertical shear injury (fall from height) may worsen fracture. It can occur in any area of the body where two skin surfaces are in close contact with each other, such as the axillary, inframammary, umbilical and inguinal areas, and is. With impairment of consciousness at onset. Symptoms usually constant but can vary from day. Touch the skin with a gloved hand to determine if the lesions are flat or raised. Bowel Sounds. Hold 'Shock' button until shock discharged. rubrum and E. PE is the 3rd leading cause of cardiovascular morbidity and mortality. Candidiasis tends to occur in moist areas of the skin. Type 1: Spontaneous Myocardial Infarction. Itraconazole 200mg (5mg/kg) PO daily q12hrs for 1 week. Cerebral edema. Symptoms. Placing gauze or cotton in between the folds of skin where intertrigo has developed keeps the folds from rubbing together and creating friction that can worsen your rash. 3 Complications; 2 Clinical Features. Middle ear effusion AND. Intertrigo frequently is worsened by infection, which most commonly is with Candida species. Weaker steroids are used on the face, eyelids, diaper area, perianal skin, and intertrigo of the groin or body folds. Generalised myasthenia gravis. Symptoms typically include ear pain, fever. Dermatophyte infection involving the crural fold. 5. Limitation of mandibular movements. Erysipelas. The affected skin will often be very raw and may itch or ooze. Adduct the affected arm and flex the elbow to 90 degrees. Infants are especially susceptible to this inflammatory condition because of their flexed posture, relatively high percentage of body fat, and short neck. Tinea cruris is a dermatophytosis that is commonly caused by Trichophyton rubrum or T. Lung Exam. Continuous >12 mo in duration. Who have begun solid foods [1] Sorbitol-containing fruit purees (e. “Round Yeast” suggests Cryptococcus spp. The treatment of Candida infections in neonates will be reviewed here. First confirm the diagnosis (scrapings) and look for other sites of infection (feet, nails). Bacterial, viral, or other fungal infection may also occur. ; The paronychia is the lateral nail folds; The hyponychium is the palmar surface skin distal to the nail. Dose (Etomidate): Start with 0. Most commonly seen in females in high estrogen states: pregnancy, oral contraceptive use, obesity, diabetes mellitus. The rash has a scaly raised red border that spreads asymmetrically down the inner thighs from the inguinal folds or. Facial pain or pressure. Adrenal Insufficiency. 2 Clinical Features. Issues related to breast abscess and lactational mastitis are discussed separately, as are issues related to breast reconstruction. Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. Most commonly seen in females in high estrogen states: pregnancy, oral contraceptive use, obesity, diabetes mellitus. Most frequent symptom is increased discomfort with bladder filling and relief with voiding. Fluconazole. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Food and bacteria can accumulate between the erupting tooth and operculum (flap of gingiva) leading to infection and pain. Type: Antifungal, azole Dosage Forms Topical:1% cream; Vaginal: 100mg supp, 200mg supp; 1% cream, 2% cream; Oropharyngeal: 10mg troche; Routes of. Classic Definition: A sudden, focal neurologic deficit that lasts for less. Lack of air circulation. Digital block for finger lacerations. Noninvasive AGE Species Onset Symptoms Transmission Preformed Toxin Viral (norovirus, adenovirus, rotavirus) : 11-72 hrs Nausea, vomiting, watery diarrhea; Mild abdominal cramps, myalgiaBackground. The inflammation most commonly occurs near folds in the skin and. g. 3. Gen: WNWD appropriate for age. Localizes to epigastric area, around waist, RUQ, or occasionally LUQ. Background. Inject base of penis with 19-Ga needle (after blood aspiration to confirm position) 100-200 mcg every 3-5min (max 1000 mcg) until resolution or 1 hour. Tinea cruris. 1-2mg/day PO divided QD-bid Max 60mg/day. Start 10 mg on alternate days for three doses and increase by 10 mg every three doses until symptoms improve. Sinus pressure while bending forward to changing head position. When to See a Doctor. The first enzyme in the heme production pathway is ALA synthase (ALAS), which controls the rate of heme synthesis in the liver. Management. It is a collection of disparate conditions with similar clinical presentation and varying etiologies affecting a particular anatomical site [ Table 1 ]. Interpretations of Key Phrases. Infectious colitis; Ischemic colitis; Ulcerative colitis; CMV colitis;Patient exhibiting NMS symptoms: hyperthermia, significant extrapyramidal symptoms, various autonomic symptoms, and impaired consciousness. Hydrochlorothiazide 12. Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. Soft tissue injury that penetrates the joint space and exposes the joint space to the environment. The resulting rash is often red, raw, and stings. Dilute phenylephrine 1ml of 1mg/ml in 9mL NS for final concentration of 100mcg/mL. Bullae form as result of staph toxin. In men under 40: 2. CBC (if suspect infection or massive hematuria) Bedside ultrasound (to verify retention) Incomplete retention is PVR > 50ml and > 100ml in patients > 65 years of age [1] Post-void residual of. 4 - 1 unit/min [13] Give with IV nitroglycerin at 10 - 50 mcg/min to bolster portal hypotension and reduce vasopressin systemic. Perform a careful physical exam. Fetal death at <20 weeks without passage of any fetal tissue for 4 weeks after fetal death. Type 5 (Crush) Salter-Harris IV fracture of the distal tibia with associated distal fibular fracture that does not involve the physis. Lateral, inferior, and superior orbital ridge fracture typically occurs with other facial fractures. Pericardial pressure-volume relationships in patients who have rapidly (left curve) and gradually (right curve) developed a pericardial effusion. Intertrigo is a common inflammatory skin condition that is caused by skin-to-skin friction (rubbing) that is intensified by heat and moisture. Background. Affected areas may include: Skin folds below the breasts or. sense of déjà-vu) With impairment in consciousness - (AKA Complex Partial Seizures--Older terms: temporal lobe or psychomotor seizures) Simple partial onset, followed by impairment of consciousness. X-ray shows physis compression fracture. This soothing pink lotion helps relieve itchiness, pain and discomfort caused by bug bites, chickenpox, poisonous plants and more. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Anti-Fungal Cream. A frequent manifestation is candidal intertrigo . Mode of transmission via direct contact to the organisms (eg. 5 ml of 10mg/ml phenylephrine, and dilute in 9. 1 Colitis; 3 See Also; Types Colitis. Intertrigo is an inflammatory condition of skinfolds caused by skin-on-skin friction. Occurs during tooth eruption through the gingiva. Left Internal Jugular: 15-20 cm. 0. Donate. Ocular myasthenia gravis. noun. 1 General; 2. High-energy trauma is primary mechanism for native hip dislocation. [1] Should be viewed as analogous to unstable angina. Sodium bicarbonate (Redirected from Sodium Bicarbonate) Contents. Intertrigo leads to an itchy rash that can get infected with germs or yeast. Candidiasis is a fungal infection due to any type of Candida (a type of yeast ). Balanoposthitis refers to inflammation of the glans penis and prepuce. May confuse for Type 1 injury: differentiation based on clinical presentation, history, and exam. Perforation can be due to multiple mechanisms but is generally either mechanical (e. Worldwide distribution. 5mm elevation in V2 and V3. The maximum dose is 50 mg on alternate days or 0. Breast abscesses develop most commonly when mastitis or cellulitis does not respond to antibiotic treatment, but an abscess can also be the first presentation of breast infection. Mini drip set has 60 ggt/ml. For larger abscesses can repeat this step thus creating several LOOPs. 1. Perform a careful physical exam. Highest inflammatory response - wood, copper, iron, steel. 1 Background. Femoral Vein: 19-24 cm. I got a bad patch of Intertrigo in skin folds. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Typically presents acutely (i. Intertrigo is most commonly found in the groin, axillae, and inframammary folds. [3] [4] Typically, over the upper inner thighs, there is an intensely itchy red raised rash with a scaly well-defined curved border. Cardiac. Lesions mostly develop in the neck, axilla, sub-mammary fold, and. Skin Exam - moisture, temp, evidence of injection drug abuse. The venous blood gas ( VBG) is a multi-component serum assessment of pH, blood gas tensions (P v O 2 and P v CO 2 ), bicarbonate (HCO 3 ), and the base excess. Most consider rhabdomyolysis if 5x or greater increase above upper limit of normal (~2000) Serum CK begins to rise 2-12hr after injury, peaks within 24-72hr. Suction or curettage may also be helpful. Start 5 mg on alternate days for three doses and increase by 5 mg every three doses until symptoms improve. Pass the peel-away sheath and in-dwelling dilator over the guidewire and into the bladder. In children, give 1/2 of total volume as FFP and 1/2 as LR throughout 24 hrs. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Optimal Therapeutic Approach for this Disease. associated with change of stool freq. Keep the area clean, wash it gently with mild soap, and pat it dry. Clinical Features. Colloquially known as 'jock itch'. Structural imaging on MRI or CT might not. Sign/symptoms similar to pyelo ( fever, CVAT, dysuria) Occurs in setting of ascending infection with obstructed pyelo. Urolithiasis comprises 3 similar clinical entities: Nephrolithiasis. This skin infection may cause rashes, scaling, itching, and swelling. Pneumonia Pneumonia by imaging AND O2 sat 89−91% OR pneumonia severity index 71-90 OR two CURB-65 criterion (confusion or BUN > 19. Bladder distension from acute urinary retention seen on CT. ↑ Thanacoody, R, et al. >3 bm per day or < 3 bm per week. Copper IUD (Paraguard): lasts up to 12 years, no hormones, usually cheaper. 2 Universal Web App. It is a descriptive term rather than a diagnosis. Sharply demarcated border, erythematous, elevated. Intertrigo under the breasts is common among people who are overweight or obese. Odontogenic Infections. Clindamycin 450mg (5mg/kg) PO q8hrs x 10 days (if PCN allergic) OR. Infection occurs due to bacterial colonization secondary to areolar inflammation and glandular obstruction. Post-traumatic seizure. AND, 2 or more of the following symptoms 25% of the time. [2] WikEM initially started as a database created from notes and checklists passed from resident class to subsequent resident class at the Harbor-UCLA emergency. May require escalating energy. 5atm: 24min. mentagrophytes. New Definition: a brief episode of neurologic dysfunction caused by focal brain, spinal cord or retinal ischemia, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction. Intertrigo is a common inflammatory skin condition that is caused by skin-to-skin friction (rubbing) that is intensified by heat and moisture. Intertrigo (intertriginous dermatitis) is an inflammatory condition of skin folds, induced or aggravated by heat, moisture, maceration, friction, and lack of air circulation. It reduces itching that leads to skin irritation and infection. Must document either a specific time or, e. Opioid withdrawal can be precipitated with administration of antagonist (e. Intermenstrual bleeding: variable amounts between regular menstrual periods. 25% [8] Epinephine (1:1,000): 0. Suspect intussusception if there are recurrent brief pain episodes, especially if wake child from sleep. Mucous membranes can also be involved. [9] ETIOLOGY. Toner. Other names. 3 Problems. Time out: Immediately prior to procedure a "time out" was called to verify the correct patient, procedure, equipment, support staff and site/side marked as required. Develops over 1-3 days. +5/5 strength extremeities. Typically, over the upper inner thighs, there is an intensely itchy red raised rash with a scaly well-defined curved border. Bacterial Conjunctivitis. 1 General;Neer System. If you are a medical practitioner, join our contributor community and share your important. 1 General; 3 Pediatric Dosing; 4 Special Populations; 5 Contraindications; 6 Adverse Reactions. A candidal rash around the anus may be raw, white or red, and itchy. Trace - 10-30mg/dl. pyogenes, Streptococcus agalactiae solely or in combination with S. Acute cystitis. Details regarding diagnosis and management of these issues are found elsewhere. Counsel patient/family on importance of hand hygiene/avoiding touching face to prevent spread! Apply warm or cool compresses (for comfort and cleansing) every 4 hours, followed by instillation of ophthalmic antibiotic solutions. Cephalexin 500mg (6.