Page 359 - 2021 IDMT Digital
P. 359
RUBELLA
Introduction:
• 5XEHOOD LV D V\VWHPLF GLVHDVH FDXVHG E\ D WRJDYLUXV WUDQVPLWWHG E\ LQKDODWLRQ RI
LQIHFWLYH GURSOHWV
• 'LIILFXOW WR GLVWLQJXLVK IURP RWKHU YLUDO LOOQHVV H[FHSW WKDW DUWKULWLV LV PRUH SURPLQHQW LQ
UXEHOOD
• :HOO FRQWUROOHG ZRUOG ZLGH ZLWK YDFFLQH SHULRGLF FDVHV LQ $IULFD
Subjective:
• 6LJQV DQG 6\PSWRPV
o ,QQRFXRXV DQG DV\PSWRPDWLF LQ XS WR RI FDVHV
o )HYHU PDODLVH FRU\]D YHU\ PLOG
o 3RO\DUWLFXODU DUWKULWLV ILQJHUV ZULVWV NQHHV
o 5DVK
Objective:
• 3K\VLFDO ([DP
o 7HQGHU VXERFFLSLWDO DGHQLWLV
o 3RVWHULRU FHUYLFDO SRVWDXULFXODU O\PSKDGHQRSDWK\
o (U\WKHPD RI WKH SDODWH DQG WKURDW VRPHWLPHV SDWFK\
o )LQH SLQN PDFXORSDSXODU UDVK DSSHDUV RQ WKH IDFH WUXQN DQG H[WUHPLWLHV LQ UDSLG
SURJUHVVLRQ DQG IDGHV TXLFNO\ ODVWLQJ D GD\ LQ HDFK DUHD
Assessment:
• 'LIIHUHQWLDO
o 0HDVOHV FRXJK FRU\]D FRQMXQFWLYLWLV .RSOLN VSRWV
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:
• $FHWDPLQRSKHQ IRU V\PSWRPDWLF UHOLHI
• 3UHJQDQW fHPDOH
o )HWDO LQIHFWLRQ LQ WKH ILUVW WULPHVWHU OHDGV WR FRQJHQLWDO UXEHOOD LQ DW OHDVW RI
IHWXVHV
o ,PPXQLW\ should be documented as part of initial prenatal care
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