Page 145 - 2021 IDMT Digital

UPPER RESPIRATORY INFECTION (URI)
Introduction:
• +XQGUHGV RI YLUXVHV DQG EDFWHULD FDQ LQIHFW WKH PXFRXV PHPEUDQHV OHDGLQJ WR V\PSWRPV
ZKLFK PDNH XS WKH FRQGLWLRQ FDOOHG XSSHU UHVSLUDWRU\ WUDFW LQIHFWLRQV
• 85,V DUH PRVW FRPPRQO\ DFXWH ORFDOL]HG LQIHFWLRQV VHFRQGDU\ WR UKLQRYLUXV ZKLFK
LQYROYH WKH QRVH DQG WKURDW
• $GXOWV KDYH 85,V SHU \HDU
Subjective:
• 6LJQV DQG 6\PSWRPV
o &OHDU UKLQLWLV DQG QDVDO FRQJHVWLRQ
o 0DODLVH
o 6QHH]LQJ
o 6FUDWFK\ RU VRUH WKURDW FRXJK KRDUVHQHVV
o +HDGDFKH
o )HYHU LV OHVV FRPPRQ
• )RFXVHG +LVWRU\
o )HYHU KHDGDFKH ZLWK ORFDWLRQ FRXJK SURGXFWLYLW\ VLFN FRQWDFWV
Objective:
• 3K\VLFDO ([DP
o )XOO +((17 H[DP OXQJV O\PSK QRGHV
o (U\WKHPD DQG HGHPD RQ QDVDO H[DP ZLWK ZDWHU\ GLVFKDUJH
o (U\WKHPD RI WKH RURSKDU\Q[ ZLWKRXW H[XGDWH
Assessment:
• 'LIIHUHQWLDO
o ,QIOXHQ]D IHYHU P\DOJLDV PLOG FROG V\PSWRPV
o $OOHUJLF UKLQLWLV UHFXUUHQW RU VHDVRQDO ZLWK LWFK\ H\HV RU QRVH LQFUHDVHG WHDULQJ
o 6LQXVLWLV WHQGHU VLQXVHV UHG VZROOHQ QDVDO PXFRVD ZLWK SXUXOHQW GLVFKDUJH
o 5KLQLWLV PHGLFDPHQWRVD RYHUXVH RI QDVDO GHFRQJHVWDQW
o COVID-19: recent exposure (if known), fever, cough, dyspnea, possible
anosmia or other smell abnormalities, sore throat, myalgias, fatigue, rhinorrhea
Plan:
• 1DVDO LUULJDWLRQ
o 1DVDO VDOLQH LPSURYHV V\PSWRPV DQG UHGXFHV WKH QHHG IRU PHGLFDWLRQV
• 0HGLFDWLRQV
o 3VHXGRHSKHGULQH
o 2[\PHWD]ROLQH
o 'H[WURPHWKRUSKDQ
o &HSDFRO
o 7\OHQRO 0RWULQ
o ,SUDWURSLXP $WURYHQW QDVDO VSUD\
• Testing:
o Consider testing for COVID-19 and/or influenza (depending on the season and
local viral activity).

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