Page 140 - 2021 IDMT Digital
P. 140
ORAL CANDIDIASIS
Introduction:
• 2UDO FDQGLGLDVLV WKUXVK LV XVXDOO\ SDLQIXO DQG ORRNV OLNH FUHDP\ ZKLWH FXUG OLNH SDWFKHV
RYHUOD\LQJ HU\WKHPDWRXV PXFRVD LQ WKH PRXWK WKDW DUH HDVLO\ UXEEHG RII
• &RPPRQO\ HQFRXQWHUHG LQ DGXOWV ZLWK GHQWXUHV GLDEHWLFV WKRVH ZLWK SRRU RUDO K\JLHQH
UHFHLYLQJ FRUWLFRVWHURLGV RU DQWLELRWLFV DQG ZKR PD\ KDYH LPPXQH VXSSUHVVLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o )OXFWXDWLQJ WKURDW RU PRXWK GLVFRPIRUW
o 3DLQ RU GLIILFXOW\ ZLWK HDWLQJ
• )RFXVHG +LVWRU\
o 0HGLFDWLRQ KLVWRU\ IRU RUDO RU V\VWHPLF FRUWLFRVWHURLGV FKHPRWKHUDS\ DQG
DQWLELRWLFV KLVWRU\ RI GLDEHWHV +,9 GHQWDO FRQGLWLRQV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH PRXWK H[DP ZLWK ELPDQXDO
(U\WKHPD RI WKH RUDO FDYLW\ RU RURSKDU\Q[
)OXII\ ZKLWH SDWFKHV ZKLFK DUH HDVLO\ UXEEHG RII
• Tools:
o 'LDJQRVLV LV FOLQLFDO EXW .2+ ZLOO VKRZ VSRUHV DQG QRQ VHSWDWH P\FHOLD
Assessment:
• 'LIIHUHQWLDO
o /HXNRSODNLD ZKLWH OHVLRQ FDQQRW EH UHPRYHG E\ UXEELQJ
o 2UDO FDQFHU HDUO\ OHVLRQV DSSHDU DV OHXNRSODNLD EXW DGYDQFHG OHVLRQV ZLOO EH D
SDOSDEOH PDVV XOFHU HDUO\ GHWHFWLRQ RI RUDO FDQFHUV DUH NH\ WR WUHDWPHQW KDYH D
KLJK LQGH[ RI VXVSLFLRQ
o *ORVVLWLV EXUQLQJ RI WKH WRQJXH ZLWKRXW ZKLWH OHVLRQV VHFRQGDU\ WR QXWULWLRQDO
GHILFLHQF\
Plan:
• $QWLIXQJDO PHGLFDWLRQV
o )OXFRQD]ROH RU NHWRFRQD]ROH RUDO
o &ORWULPD]ROH WURFKHV GLVVROYHG RUDOO\
o 1\VWDWLQ PRXWK ULQVHV
Patient Education:
• ,I SDWLHQWV DUH XVLQJ LQKDOHG VWHURLGV WKH\ VKRXOG EH UHPLQGHG WR ULQVH WKHLU PRXWK ZLWK
ZDWHU DIWHU WKH\ LQKDOH WKHLU PHGLFDWLRQ
• )ROORZ XS $FWLRQV
o 5HWXUQ LI V\PSWRPV UHRFFXU RU IDLO WR UHVROYH
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
[ 139 ]
