Page 351 - 2021 IDMT Digital
P. 351
VARICELLA
Introduction:
• 9DULFHOOD ]RVWHU YLUXV 9=9 PDQLIHVWV DV FKLFNHQSR[ YDULFHOOD DQG VKLQJOHV KHUSHV
]RVWHU
o $IWHU SULPDU\ LQIHFWLRQ ZLWK 9=9 WKH YLUXV UHPDLQV GRUPDQW LQ QHUYHV DQG WKHQ
ODWHU UHDFWLYDWHV DV KHUSHV ]RVWHU LQ DERXW RI SHRSOH
• &KLFNHQSR[ JHQHUDOO\ SUHVHQWV GXULQJ FKLOGKRRG
• 6KLQJOHV XVXDOO\ SUHVHQWV LQ SDWLHQWV ! age
• 7KHUH DUH YDFFLQHV IRU ERWK 9=9 DQG KHUSHV ]RVWHU
Subjective:
• 6LJQV DQG 6\PSWRPV
o &KLFNHQSR[
3UXULWLF FKDQJLQJ UDVK
)HYHU DQG PDODLVH DUH PLOG LQ FKLOGUHQ EXW PRUH PDUNHG LQ DGXOWV
o =RVWHU
3DWLHQWV UHSRUW DQ DUHD RI WLQJOLQJ SDLQ DQG then UDVK
3DLQ FDQ EH VHYHUH DQG YDULHV GHSHQGLQJ RQ SDWLHQW
Objective:
• 3K\VLFDO ([DP
o &KLFNHQpR[
5DVK LV SUXULWLF FHQWULpetal SDSXODU FKDQJLQJ WR YHVLFXODU
³'HZGURSV RQ D URVH SHWDO´
/HVLRQV EHFRPH SXVWXODU DQG ILQDOO\ SUHVHQW ZLWK FUXVWLQJ (various stages
of healing)
o =RVWHU
(UXSWLRQ RI YHVLFOHV LQ D GHUPDWRPDO GLVWULEXWLRQ HYROYLQJ WR SXVWXOHV DQG
WKHQ FUXVWLQJ
/HVLRQV GR QRW XVXDOO\ FURVV PLG OLQH
Assessment:
• 'LIIHUHQWLDO
o &RQWDFW GHUPDWLWLV SRLVRQ RDN LY\
o +69 KLVWRU\ DQG YLUDO FXOWXUH
o 6PDOOSR[ FHQWULIXJDO UDVK lesions all in the same stage of healing; FRQVLGHU
ELRORJLFDO ZDUIDUH
Plan:
• 0HGLFDWLRQV
o 9DULFHOOD
6WDUW DF\FORYLU ZLWKLQ WKH ILUVW KRXUV
$FHWDPLQRSKHQ IRU SDLQ IHYHU
o =RVWHU
6WDUW YDODF\FORYLU ZLWKLQ WKH ILUVW KRXUV
7KHUH LV QR UROH IRU FRUWLFRVWHURLGV
8VH FOLQLFDO MXGJPHQW IRU SDLQ FRQWURO
[ 350 ]
