Page 318 - 2021 IDMT Digital

MONONEUROPATHIES
Introduction:
• $Q LQGLYLGXDO QHUYH PD\ EH LQMXUHG DORQJ LWV FRXUVH RU PD\ EH FRPSUHVVHG DQJXODWHG
RU VWUHWFKHG E\ QHLJKERULQJ DQDWRPLF VWUXFWXUHV HVSHFLDOO\ DW D SRLQW ZKHUH LW SDVVHV
WKURXJK D QDUURZ VSDFH HQWUDSPHQW QHXURSDWK\
• :LWK LQYROYHPHQW RI D VHQVRU\ RU PL[HG QHUYH SDLQ LV FRPPRQO\ IHOW GLVWDO WR WKH OHVLRQ
• 7KH SUHFLVH QHXURORJLF GHILFLW GHSHQGV RQ WKH QHUYH LQYROYHG
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DUHVWKHVLDV
o )HHOLQJV RI SDLQ DQG ZHDNQHVV LQ D QHUYH URRW GLVWULEXWLRQ
• )RFXVHG +LVWRU\
o /HQJWK RI V\PSWRPV
o 3UHFLSLWDWLQJ IDFWRUV
o 3URYRFDWLQJ PRWLRQV
o &RQVLGHU ³6DWXUGD\ 1LJKW 3DOV\´
Objective:
• 3K\VLFDO ([DP
o 1HXURORJLFDO H[DP RI WKH H[WUHPLW\
o 3HUFXVVLRQ RI WKH QHUYH DW WKH VLWH RI WKH OHVLRQ PD\ OHDG WR SDUHVWKHVLDV LQ LWV
GLVWDO GLVWULEXWLRQ
Assessment:
• 'LIIHUHQWLDO
o 3HULSKHUDO QHUYH WXPRU SUHVHQFH RI PDVV
o 'LDEHWLF QHXURSDWK\ KLVWRU\ RI XQFRQWUROOHG GLDEHWHV
o 3RVWKHUSHWLF QHXUDOJLD IROORZV varicella zoster virus (VZV) LQIHFWLRQ
Plan:
• ,I DFXWH FRPSUHVVLRQ QHXURSDWK\ QR WUHDWPHQW LV QHHGHG
o 5HFRYHU\ JHQHUDOO\ RFFXUV ZLWKLQ PRQWKV
• ,Q FKURQLF FRPSUHVVLYH RU HQWUDSPHQW QHXURSDWKLHV DYRLGDQFH RI DJJUDYDWLQJ IDFWRUV
DQG FRUUHFWLRQ RI DQ\ XQGHUO\LQJ V\VWHPLF FRQGLWLRQV DUH LPSRUWDQW
o 6XUJLFDO GHFRPSUHVVLRQ PD\ EH KHOSIXO
Patient Education:
• $YRLG OHDQLQJ RQ HOERZV ZULVWV RU RWKHU MRLQWV
• (QVXUH KHDY\ JHDU LV QRW SXWWLQJ SUHVVXUH RQ QHUYH EXQGOHV OLNH VKRXOGHUV DQG QHFN
• )ROORZ XS $FWLRQV
o 5HWXUQ IRU IXUWKHU HYDOXDWLRQ LI QRW LPSURYLQJ ZLWKLQ ZHHNV
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103

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