Page 409 - 2021 IDMT Digital

BROWN RECLUSE SPIDER BITE
Introduction:
• $OVR NQRZQ DV WKH ³ILGGOHEDFN´ GXH WR LWV GLVWLQFWLYH EURZQ YLROLQ VKDSH RQ LWV
FHSKDORWKRUD[
• /LYH SULPDULO\ LQ KRPHV LQ GDUN TXLHW DUHDV VXFK DV DWWLFV FXSERDUGV EHKLQG
ERRNVKHOYHV DQG LQ EDVHPHQWV
Subjective:
• 6LJQV DQG 6\PSWRPV
o ,QLWLDOO\ SDLQOHVV ELWH WKDW LQFUHDVHV RYHU WKH QH[W VHYHUDO KRXUV
o 6\VWHPLF UHDFWLRQV DUH UDUH EXW PD\ LQFOXGH QDXVHD YRPLWLQJ IHYHUV DQG
P\DOJLDV LQGLVWLQJXLVKDEOH IURP VHSVLV
Objective:
• 3K\VLFDO ([DP
o %LWH VLWH EHJLQV WR VZHOO ZLWK ORFDO HU\WKHPD VPDOO SXQFWXUH ZRXQGV PD\ EH
YLVLEOH
o :LWKLQ D IHZ KRXUV RI ELWH OHVLRQ GHYHORSV ³%XOO¶V (\H´ DSSHDUDQFH ZLWK FHQWUDO
SDOORU DQG VXUURXQGLQJ HU\WKHPD DQG HFFK\PRVLV
o /HVLRQ PD\ UHVROYH RYHU VHYHUDO GD\V RU EHFRPH GXVN\ DQG LQVHQVDWH UXSWXUH
DQG OHDYH D FHQWUDO XOFHUDWLRQ WKHVH OHVLRQV FDQ GHYHORS VLJQLILFDQW WLVVXH
QHFURVLV
Assessment:
• 'LIIHUHQWLDO
o 0HWKLFLOOLQ UHVLVWDQW Staphylococcus aureus VNLQ LQIHFWLRQV RIWHQ PLVWDNHQ IRU D
VSLGHU ELWH DQG EHJLQ ZLWK VLQJXODU SDSXOHV RU SXVWXOHV WKDW PD\ HYROYH WR
QHFURWLF OHVLRQV
o 3\RGHUPD JDQJUHQRVXP GDUN EOXH UHG SDSXOHV SURJUHVVLQJ WR QHFURWLF
XOFHUDWLQJ OHVLRQV
o 9DVFXODU GLVHDVH IRRW DQG DQNOH XOFHUV FDQ EH VHHQ LQ SDWLHQWV ZLWK FKURQLF
YHQRXV LQVXIILFLHQF\ RU GLDEHWHV
Plan:
• ,9 DFFHVV RQ XQDIIHFWHG OLPE ZLWK QRUPDO VDOLQH DW PDLQWHQDQFH UDWH LI FKDQJHV LQ
VHQVDWLRQ V\VWHPLF V\PSWRPV VHYHUH SDLQ RU DQ\ VLJQV RI DQDSK\OD[LV
• ,FH WKH ELWH VLWH WDNLQJ FDUH WR SURWHFW WKH WLVVXH
• ,PPRELOL]H WKH H[WUHPLW\ DQG HOHYDWH SRVVLEO\ IRU VHYHUDO GD\V XQWLO OHVLRQ VWDUWV WR
UHVROYH RU XQWLO QHFURVLV VWDUWV
• ,PPHGLDWH (9$& RU WUDQVIHU IRU DQ\ SDWLHQW ZLWK VHYHUH V\PSWRPV VLJQV RI QHFURVLV RU
XQFRQILUPHG GLDJQRVLV

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