Page 355 - 2021 IDMT Digital

MEASLES
Introduction:
• 0HDVOHV LV D UHSRUWDEOH DFXWH V\VWHPLF SDUDP\[RYLUXV LQIHFWLRQ WUDQVPLWWHG E\ LQKDODWLRQ
RI LQIHFWLYH GURSOHWV
• 0DMRU ZRUOGZLGH FDXVH RI SHGLDWULF PRUELGLW\ DQG PRUWDOLW\ DOWKRXJK YDFFLQDWLRQ FDQ
SUHYHQW LW
• 2XWEUHDNV DUH RFFXUULQJ PRUH IUHTXHQWO\ LQ WKH 8QLWHG 6WDWHV GXH WR GHFUHDVHG UDWHV RI
YDFFLQDWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3URGURPH RI IHYHU FRU\]D FRXJK
o 'HDWK FDQ RFFXU IURP VHFRQGDU\ EDFWHULDO FDXVHV
Objective:
• 3K\VLFDO ([DP
o )HYHU FDQ EH ! ž)
o .RSOLN VSRWV RQ PXFRXV PHPEUDQHV VPDOO LUUHJXODU DQG UHG ZLWK ZKLWLVK FHQWHU
RQ WKH PXFRXV PHPEUDQHV
o 5DVK EULFN UHG LUUHJXODU PDFXORSDSXODU RQVHW GD\V DIWHU RQVHW RI
SURGURPH EHJLQV RQ WKH IDFH DQG SURFHHGV ³GRZQZDUG DQG RXWZDUG´ DIIHFWLQJ
SDOPV DQG VROHV ODVW
o &KHFN OXQJV IRU VLJQV RI SQHXPRQLD
o 3RVVLEOH SKDU\QJHDO HU\WKHPD WRQVLOODU H[XGDWH JHQHUDOL]HG O\PSKDGHQRSDWK\
Assessment:
• 'LIIHUHQWLDO
o 5XEHOOD OLWWOH RU QR SURGURPH
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:

• 3DWLHQW VKRXOG EH NHSW LVRODWHG IRU WKH ZHHN IROORZLQJ RQVHW RI WKH UDVK DQG NHSW DW EHG
UHVW XQWLO DIHEULOH
• 7UHDWPHQW LV V\PSWRPDWLF LQFOXGLQJ DQWLS\UHWLFV DQG IOXLGV DV QHHGHG
• 6HFRQGDU\ EDFWHULDO LQIHFWLRQV LQFOXGLQJ SQHXPRQLD DUH WUHDWHG ZLWK DSSURSULDWH
DQWLELRWLFV
• 3RVW PHDVOHV HQFHSKDOLWLV may cause residual neurologic abnormalities
• &RQWDFW SXEOLF KHDOWK &'& DQG SUHSDUH IRU HYDFXDWLRQ RI VLWH

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