Page 367 - 2021 IDMT Digital
P. 367

HANTAVIRUS
          Introduction:
            •  +DQWDYLUXVHV DUH HQYHORSHG 51$ EXQ\DYLUXVHV QDWXUDOO\ KRVWHG LQ URGHQWV  PROHV  DQG
               VKUHZV
            •  7KHUH DUH RYHU    KDQWDYLUXV VWUDLQV ZLWK WZR PDMRU FOLQLFDO V\QGURPHV
                 o  +HPRUUKDJLF IHYHU ZLWK UHQDO V\QGURPH  +)56
                 o  +DQWDYLUXV SXOPRQDU\ V\QGURPH  +36
            •          FDVHV RFFXU JOREDOO\ ZLWK +36 EHLQJ IDU OHVV FRPPRQ
            •  6LQ 1RPEUH YLUXV LV WKH PRVW FRPPRQ KDQWDYLUXV LQ WKH 86 DQG WKH PDLQ YLUXV
               UHVSRQVLEOH IRU +36
            •  7UDQVPLVVLRQ E\ DHURVROL]HG URGHQW H[FUHPHQW

          Subjective:
            •  6LJQV DQG 6\PSWRPV
               o  $FXWH  GD\V       hLJK IHYHU  FKLOOV  P\DOJLDV  KHDGDFKH
               o  6XEDFXWH  GD\V        ORZ JUDGH IHYHU  DSSUHKHQVLRQ
                    ƒ  +)56  ORZ XULQH RXWSXW  EDFN SDLQ  GLXUHVLV
                    ƒ  +36  GL]]LQHVV  DEGRPLQDO SDLQ  GLDUUKHD  G\VSQHD  QRQ SURGXFWLYH FRXJK
                       DQG VKRFN
               o  9DVFXODU OHDNDJH LV WKH KDOOPDUN RI WKH GLVHDVH IRU ERWK V\QGURPHV ZLWK OXQJV EHLQJ
                 WKH WDUJHW Rf +36 DQG WKH NLGQH\V with +)56
          Objective:
            •  3K\VLFDO ([DP
                 o  9LWDO 6LJQV
                       ƒ  )HYHU XS WR    ž)  WDFK\SQHD  K\SRWHQVLRQ  WDFK\FDUGLD  K\SR[LD
                 o  7R[LF DSSHDUDQFH
                 o  &RQMXQFWLYDO LQMHFWLRQ
                 o  2OLJXULD
                 o  &UDFNOHV WR DXVFXOWDWLRQ
            •  7RROV
                 o  &;5 PD\ EH QRUPDO RU VKRZ ZKLWHRXW  HIIXVLRQ RU LQFUHDVHG YDVFXODU PDUNLQJV
          Assessment:
            •  'LIIHUHQWLDO
                 o  /HSWRVSLURVLV  SXOPRQDU\ KHPRUUKDJH SUHVHQWDWLRQ RI OHSWRVSLURVLV EXW SUHVHQWV
                    VLPLODUO\ WR +36
                 o  +HPRUUKDJLF IHYHU  PRUH SURPLQHQW EOHHGLQJ DQG UDVK
                 o  'HQJXH  YHFWRU ZLOO EH GLIIHUHQW
          Plan:
            •  6XSSRUWLYH FDUH
            •  3UHSDUH IRU $&/6 LQWHUYHQWLRQ
            •  3UHSDUH IRU (9$& RU WUDQVIHU
            •  &RQWDFW 3XEOLF +HDOWK &'&














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