Page 128 - 2021 IDMT Digital
P. 128
BACTERIAL SINUSITIS
Introduction:
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o 7\SLFDO SDWKRJHQV DUH S pneumoniaH H influenzaH 0 FDWDUUKDOLV
Subjective:
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o 6\PSWRPV ODVWLQJ ORQJHU WKDQ GD\V RU ZRUVHQLQJ V\PSWRPV ZLWKLQ GD\V
DIWHU LQLWLDO LPSURYHPHQW LQFOXGLQJ
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• )RFXVHG +LVWRU\
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Objective:
• 3K\VLFDO ([DP
o ,QVSHFW IRU SXUXOHQW QDVDO GUDLQDJH LQ WKH QRVH RU SRVWHULRU RUDO FDYLW\ LQIODPHG
WXUELQDWHV IRXO EUHDWK
o 3DOSDWH IRU PD[LOODU\ DQG IURQWDO VLQXV WHQGHUQHVV DQG O\PSK QRGH HQODUJHPHQW
Assessment:
• 'LIIHUHQWLDO
o 9LUDO 85, VKRUWHU GXUDWLRQ OHVV VHYHUH V\PSWRPV
o 3KDU\QJLWLV PDUNHG WKURDW SDLQ QR VLQXV SDLQ
o 'HQWDO GHFD\ VZHOOLQJ RYHU WKH FKHHN RU JXP ODFN RI (17 V\PSWRPV
o 5KLQLWLV QDVDO GLVFKDUJH QRW SXUXOHQW QR SDLQ
Plan:
• $ERXW RI VLQXV LQIHFWLRQV ZLOO UHVROYH V\PSWRPDWLFDOO\ ZLWKRXW DQWLELRWLF WUHDWPHQW
o 3DLQ V\PSWRPV FDQ EH LPSURYHG ZLWK RUDO RU QDVDO GHFRQJHVWDQWV ± RUDO
SVHXGRHSKHGULQH DQG RU QDVDO R[\PHWD]ROLQH
o &RQVLGHU DQWLELRWLF WUHDWPHQW ZKHQ V\PSWRPV ODVW ! GD\V RU VHYHUH
V\PSWRPV
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