Page 353 - 2021 IDMT Digital

EPSTEIN-BARR VIRUS (EBV) / MONONUCLEOSIS
Introduction:
• (SVWHLQ %DUU 9LUXV (%9 RU KXPDQ KHUSHV YLUXV LV RQH RI WKH PRVW FRPPRQ KXPDQ
YLUXVHV having LQIHFWed ! RI WKH DGXOW SRSXODWLRQ ZRUOGZLGH
• ,QIHFWLRXV PRQRQXFOHRVLV LV D FRPPRQ PDQLIHVWDWLRQ RI (%9 DQG PD\ RFFXU DW DQ\ DJH
• /DUJHO\ WUDQVPLWWHG E\ VDOLYD ZKLFK FDQ UHPDLQ LQIHFWLRXV GXULQJ FRQYDOHVFHQFH IRU
PRQWKV RU ORQJHU DIWHU V\PSWRP RQVHW
Subjective:
• 6LJQV DQG 6\PSWRPV
o 0DODLVH
o )HYHU
o 6RUH WKURDW VRPHWLPHV ZLWK H[XGDWH
o 0\DOJLDV
Objective:
• 3K\VLFDO ([DP
o 3DODWDO SHWHFKLDH
o (QODUJHG WRQVLOV VRPHWLPHV ZLWK H[XGDWH
o /\PSKDGHQRSDWK\ DQG SRVVLEOH VSOHQRPHJDO\
o 2FFDVLRQDOO\ PDFXORSDSXODU UDVK
o &RQMXQFWLYDO KHPRUUKDJH FDQ RFFXU
Assessment:
• 'LIIHUHQWLDO
o 6WUHS WKURDW PLVWDNHQO\ WUHDWLQJ PRQR DV VWUHS WKURDW ZLWK DPR[LFLOOLQ may FDXVH
a GLIIXVH SHWHFKLDO or generalized pruritic rash
o 2WKHU YLUDO LOOQHVVHV &09 +,9
o ,QIHFWLRXV dLVHDVHV GLSKWKHULD JUD\ PHPEUDQRXV H[XGDWH
Plan:
• 2YHU RI SDWLHQWV ZLWK DFXWH (%9 DVVRFLDWHG LQIHFWLRXV PRQRQXFOHRVLV UHFRYHU
ZLWKRXW VSHFLILF WKHUDS\
• 7UHDWPHQW VKRXOG EH V\PSWRPDWLF
o $FHWDPLQRSKHQ RU 16$,'s IRU SDLQ DQG IHYHU
o 6DOW ZDWHU JDUJOHV IRU WKURDW SDLQ
• 3DWLHQWV VKRXOG DYRLG FRQWDFW RU FROOLVLRQ VSRUWV IRU DW OHDVW ZHHNV WR GHFUHDVH WKH ULVN
RI VSOHQLF UXSWXUH

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