Page 373 - 2021 IDMT Digital

RICKETTSIAL INFECTIONS
Introduction:
• 5LFNHWWVLD DUH REOLJDWH LQWUDFHOOXODU EDFWHULD WUDQVPLWWHG WR KXPDQV E\ DUWKURSRG YHFWRUV
RIWHQ IURP DQLPDO UHVHUYRLUV
• *HQHUDOO\ JURXSHG DV 7\SKXV )HYHUV RU 6SRWWHG )HYHU *URXS RUJDQLVPV 6)*
• 6HYHUH LOOQHVV WKDW FDQ FDXVH PRUWDOLW\ LI QRW WUHDWHG SURPSWO\
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3URGURPDO PDODLVH FRXJK KHDGDFKH EDFNDFKH DUWKUDOJLDV DQG FKHVW SDLQ
o $EUXSW RQVHW RI FKLOOV KLJK IHYHU DQG SURVWUDWLRQ ZLWK IOX OLNH V\PSWRPV
SURJUHVVLQJ WR GHOLULXP DQG VWXSRU
o 7KH KHDGDFKH LV VHYHUH DQG WKH IHYHU LV SURORQJHG
o 5DVK
Objective:
• 3K\VLFDO ([DP
o &RQMXQFWLYLWLV LQIODPPDWLRQ RI WKH YLWUHRXV ERG\ UHWLQDO OHVLRQV RSWLF QHXULWLV
o +HDULQJ ORVV IURP QHXURSDWK\ RI &1 VIII
o 5DOHV DW OXQJ EDVHV
o 6SOHQRPHJDO\
o 5DVK YDULHV ZLWK W\SH RI LOOQHVV EXW XVXDOO\ LV QRWDEOH LI SUHVHQW
o 3RVVLEOH PHQWDO VWDWXV FKDQJHV
Assessment:
• 'LIIHUHQWLDO
o 5LFNHWWVLDOSR[ PDFXORSDSXODU UDVK ZLWK YHVLFOHV WKDW FUXVW
o 6FUXE W\SKXV WDFKH QRLU LQ ILUVW GD\V VSUHDGLQJ GXOO UHG PDFXORSDSXODU UDVK RQ
WUXQN DIWHU
o 7\SKXV VPDOO PDFXOHV LQ D[LOOD WUXQN VSUHDGLQJ RYHU ERG\ FDQ WXUQ KHPRUUKDJLF
o 506) PDFXORSDSXODU UDVK WKDW VWDUWV RQ H[WUHPLWLHV LQFOXGHV SDOPV VROHV IDFH
SHWHFKLDH DQG KHPRUUKDJLF OHVLRQV
Plan:
• 0HGLFDWLRQV GR[\F\FOLQH DV VRRQ DV SRVVLEOH
• 6XSSRUWLYH DQG V\PSWRPDWLF FDUH
• 3UHYHQWLRQ LV DOZD\V WKH EHVW IRUP RI WUHDWPHQW

Patient Education:
• 'R QRW WDNH GR[\F\FOLQH ZLWK LURQ PLON RU GDLU\ SURGXFWV PXOWLYLWDPLQV DQG DYRLG VXQ
• 3UHYHQWLRQ FRQVLVWV RI DUWKURSRG FRQWURO ZLWK LQVHFWLFLGHV
o 7UHDW FORWKLQJ ZLWK FKHPLFDOV RU ZLWK KHDW
o %DWKH IUHTXHQWO\
• )ROORZ XS $FWLRQV UHWXUQ WR FOLQLF LQ KRXUV LI QR LPSURYHPHQW
Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately

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