Page 371 - 2021 IDMT Digital

TICK-BORNE ENCEPHALITIS (TBE)
Introduction:
• 7LFN ERUQH HQFHSKDOLWLV 7%( LV WKH PRVW FRPPRQ DUERYLUXV LQIHFWLRQ WUDQVPLWWHG E\
WLFNV LQ (XURSH
• FDVHV DQQXDOO\ LQ SDUWV RI (XUDVLD -DSDQ DQG &KLQD
• ([SRVXUH WR LQIHFWHG WLFNV RU XQSDVWHXUL]HG PLON IURP YLUHPLF OLYHVWRFN
• 7ZR YDULDQWV RI FOLQLFDO SUHVHQWDWLRQ
o :HVWHUQ VXEW\SH RFFXUV PDLQO\ LQ WKH IDOO
o (DVWHUQ VXEW\SH \HDU URXQG
Subjective:
• 6LJQV DQG 6\PSWRPV
o %LSKDVLF GD\V RI IHYHU XVXDOO\ ZLWK PDODLVH
o +HDGDFKH DQG P\DOJLDV IROORZHG E\ D GD\ V\PSWRP IUHH LQWHUYDO
o 6HFRQG SKDVH KDV UHVXPHG IHYHUV DQG QHXURORJLF V\PSWRPV
o 1HXURORJLF PDQLIHVWDWLRQV
Objective:
• 3K\VLFDO ([DP
o 1HXURORJic H[DP PD\ demonstrate
ƒ 7UDQVLHQW ZHDNQHVV VHQVRU\ GLVWXUEDQFHV OLPE SDUDO\VLV
ƒ $EQRUPDO '75V WUHPRUV FUDQLDO QHUYH DEQRUPDOLWLHV QXFKDO ULJLGLW\
o (YDOXDWH IRU UHVSLUDWRU\ LQVXIILFLHQF\
Assessment:
• 'LIIHUHQWLDO
o +HUSHV VLPSOH[ HQFHSKDOLWLV IRFDO QRQ PRWRU FKDQJHV
o 5DELHV K\GURSKRELD DHURSKRELD KLVWRU\ RI DQLPDO ELWH
o 6XEGXUDO KHPDWRPD RU WUDXPD QR IHYHU
Plan:
• 6XSSRUWLYH FDUH
• 3UHSDUH IRU $&/6 LQWHUYHQWLRQ
• 3UHSDUH IRU (9$& RU WUDQVIHU
• &RQWDFW 3XEOLF +HDOWK &'&

Patient Education:
• 7KLV FRQGLWLRQ LV QRW FRQWDJLRXV
• 5HVW LQ EHG XQWLO DIHEULOH
• )ROORZ XS $FWLRQV
o /LNHO\ WR EH SHUIRUPHG E\ KRVSLWDO
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

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