Page 380 - 2021 IDMT Digital

INTESTINAL NEMATODES
Introduction:
• Ascaris lumbricoides URXQGZRUP LV WKH PRVW FRPPRQ RI WKH LQWHVWLQDO KHOPLQWKV
LQIHFWLQJ DERXW D TXDUWHU RI WKH ZRUOG¶V SRSXODWLRQ
• Ancylostoma duodenale DQG Necator americanus KRRNZRUP DUH YHU\ FRPPRQ
• StrongyloidHV stercoralis LV QRW DV SUHYDOHQW EXW VWLOO WURXEOHVRPH
• Enterobiasis SLQZRUP LV D FRPPRQ FDXVH RI LQWHVWLQDO LQIHFWLRQ LQ VFKRRO DJH FKLOGUHQ
ZRUOG ZLGH
Subjective:
• 6LJQV DQG 6\PSWRPV
o 1RQ VSHFLILF DEGRPLQDO V\PSWRPV
o &RXJK
o 8UWLFDULD RU UDVK
o 'LDUUKHD
o 3DWLHQWV PD\ UHSRUW VHHLQJ HJJV RU D ZRUP LQ WKHLU IHFHV
o 3LQZRUPV QRFWXUQDO DQDO SUXULWXV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH DEGRPLQDO H[DP PD\ UHYHDO DEGRPLQDO WHQGHUQHVV RFFDVLRQDOO\
KHSDWRPHJDO\
• 7RROV
o 6WRRO 2 3
o &%& IRU DQHPLD
o 3LQZRUP WHVW ± DSSO\ FOHDU FHOORSKDQH WDSH WR WKH SHULDQDO VNLQ LQ WKH HDUO\
PRUQLQJ WR FROOHFW HJJV IRU WKUHH PRUQLQJV
Assessment:
• 'LIIHUHQWLDO
o $VFDULDVLV DEGRPLQDO GLVFRPIRUW YRPLWLQJ ZRUPV FRXJK XUWLFDULD ZRUPV LQ
VWRRO
o 7ULFKXULDVLV EORRG\ GLDUUKHD UHFWDO SURODSVH
o +RRNZRUP WUDQVLHQW SUXULWLF VNLQ UDVK DQG SXOPRQDU\ V\PSWRPV LURQ GHILFLHQF\
DQHPLD
o 6WURQJ\ORLGLDVLV SUXULWLF VNLQ UDVK SXOPRQDU\ V\PSWRPV GLDUUKHD DEGRPLQDO
GLVFRPIRUW
o 3LQZRUP QRFWXUQDO SHULDQDO SUXULWXV
Plan:
• 0HGLFDWLRQV
o $OEHQGD]ROH IRU PRVW LQIHFWLRQV
o 6WURQJ\ORLGLDVLV LV WUHDWHG SUHIHUDEO\ ZLWK LYHUPHFWLQ
• 3UDFWLFH JRRG KDQG K\JLHQH

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