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This Concept Map, created with IHMC CmapTools, has information related to: 669_insect bites, Biting insect a tick or spider? Yes Medical referral, Biting insect a mosquito, chigger, bedbug, or flea? No If insect was a louse, see Lice Treatment Algorithm, Allergy to topical anesthetics? Yes OTC product containing a counterirritant, topical AH, skin protectant, or hydrocortisone. Counsel on product use & preventative measures., Biting insect a mosquito, chigger, bedbug, or flea? Yes Reaction confined to site of bite?, Reaction confined to site of bite? No Medical referral, Obtain symptom information, medical/medication history, allergy history Biting insect a tick or spider?, Exclusions for self-treatment? Yes Medical referral, OTC product containing a counterirritant, topical AH, skin protectant, or hydrocortisone. Counsel on product use & preventative measures. Symptoms resolved after 7 days of treatment?, Symptoms resolved after 7 days of treatment? No If insect was a louse, see Lice Treatment Algorithm, Symptoms resolved after 7 days of treatment? Yes Advise patient to D/C treatment. Reinforce counseling on preventative measures., Reaction confined to site of bite? Yes Allergy to topical anesthetics?, Patient with insect bite Obtain symptom information, medical/medication history, allergy history, OTC product containing topical anesthetics or skin protectants. Counsel on product use & preventative measures. Symptoms resolved after 7 days of treatment?, Biting insect a tick or spider? No Exclusions for self-treatment?, Exclusions for self-treatment? No Biting insect a mosquito, chigger, bedbug, or flea?, Allergy to topical anesthetics? No OTC product containing topical anesthetics or skin protectants. Counsel on product use & preventative measures.