Page 375 - 2021 IDMT Digital
P. 375

LEISHMANIASIS
          Introduction:
            •  7UDQVPLWWHG E\ D ELWH IURP DQ LQIHFWHG VDQGIO\
            •  &DQ UHVXOW LQ FXWDQHRXV  PXFRFXWDQHRXV RU YLVFHUDO GLVHDVH
            •  ,QFXEDWLRQ FDQ EH XS WR   PRQWKV
            •  7KH YLVFHUDO IRUP  IRXQG LQ PRVW WURSLFDO DUHDV ZRUOGZLGH  LV RIWHQ IDWDO

          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  &XWDQHRXV  QRQ KHDOLQJ VNLQ OHVLRQ which uVXDOO\ XOFHUDWHV
                 o  9LVFHUDO  IHYHU RIWHQ !    ž) ZLWK FKLOOV  ZDVWLQJ  QLJKW VZHDWV  IDWLJXH DQG
                    QRQ-SURGXFWLYH FRXJK
          Objective:
            •  3K\VLFDO ([DP
                 o  &XWDQHRXV  VNLQ SDSXOH WKDW HQODUJHV DQG XOFHUDWHV  RFFDVLRQDO LQIHFWLRQ DW D VLWH
                    GLVWDQW WR ELWH
                 o  9LVFHUDO  O\PSKDGHQRSDWK\  VNLQ FKDQJHV  KHSDWRVSOHQRPHJDO\  ODWH SHULSKHUDO
                    HGHPD  MDXQGLFH  SHWHFKLDH
          Assessment:
            •  'LIIHUHQWLDO
                 o  6\SKLOLV  67,
                 o  0DODULD  H[SRVXUH WR PRVTXLWRV
                 o  7\SKRLG  SRRU ZDWHU VRXUFH
          Plan:
            •  :DOWHU 5HHG National Military 0HGLFDO &HQWHU LV WKH 'R' VLWH ZLWK FRPSUHKHQVLYH
               GLDJQRVWLF FDSDELOLW\ IRU WKH PLOLWDU\
            •  ,I WKHUH LV VXVSLFLRQ RI OHLVKPDQLDVLV WKHQ (9$& RU WUDQVIHU
          Patient Education:
            •  3HUVRQDO SURWHFWLRQ PHDVXUHV IRU DYRLGDQFH RI VDQGIO\ ELWHV LQFOXGH XVH RI LQVHFW
               UHSHOOeQWV  ILQH PHVK LQVHFW QHWWLQJ  ORQJ VOHHYHV DQG SDQWV DQG DYRLGDQFH RI ZDUP
               VKDGHG DUHDV ZKHUH IOLHV DUH FRPPRQ
            •  /LPLW FRQWDFW ZLWK GRJV DQG RWKHU GRPHVWLFDWHG DQLPDOV
            •  )ROORZ XS $FWLRQV
                 o  /LNHO\ WR EH SHUIRUPHG E\ KRVSLWDO
          Preceptor Directive:
            •  Red Directive: Immediate Evacuation; Contact Preceptor ASAP



















                                         [ 374 ]
   370   371   372   373   374   375   376   377   378   379   380