Page 84 - 2021 IDMT Digital
P. 84

INTERTRIGO
          Introduction:
            •  5DVK LQ ERG\ IROGV FDXVHG E\ PDFHUDWLQJ HIIHFW RI KHDW  PRLVWXUH  DQG IULFWLRQ
            •  0RUH OLNHO\ LQ REHVH LQGLYLGXDOV LQ KXPLG FOLPDWHV
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  ,WFKLQJ  VWLQJLQJ DQG EXUQLQJ LQ ERG\ IROGV
          Objective:
            •  3K\VLFDO ([DP
                 o  ,QFUHDVHG %0, PD\ EH QRWHG
                 o  )LVVXUHV DQG HU\WKHPD LQ ERG\ IROGV
          Assessment:
            •  'LIIHUHQWLDO
                 o  6HERUUKHLF GHUPDWLWLV  OHVV SUXULWLF  IUHTXHQW VFDOS DQG IDFH LQYROYHPHQW  JUHDV\
                    DQG VFDO\ OHVLRQV  TXLFN UHVSRQVH WR WKHUDS\
                 o  3VRULDVLV  FKURQLF LQIODPPDWRU\ GLVHDVH  SUHVHQWV ZLWK VKDUSO\ GHPDUFDWHG
                    SODTXHV ZLWK VLOYHU\ VFDOHV  IDYRUV H[WHQVRU VXUIDFHV
                  o  &RQWDFW GHUPDWLWLV  DFXWH RU FKURQLF GHUPDWLWLV IURP GLUHFW VNLQ FRQWDFW ZLWK
                    FKHPLFDOV RU DOOHUJHQV
                  o  $WRSLF GHUPDWLWLV  HF]HPD  SRRUO\ GHPDUFDWHG SODTXHV FRPPRQ RQ IOH[XUDO
                    VXUIDFHV
                  o  ,PSHWLJR  LQIHFWLRQ RI WKH VNLQ FDXVHG E\ VWDSK\ORFRFFL RU VWUHSWRFRFFL  XVXDOO\
                    OHVLRQV ORFDWHG RQ IDFH DQG H[SRVHG SDUWV
          Plan:
            •  0HGLFDWLRQV
                  o  Only after keeping area clean and dry
                  o  AQWLIXQJDO FUHDP
                  o  Mild steroid cream considered for severe itching
          Patient Education:
            •  ,Q DIIHFWHG DUHD
                 o  0DLQWDLQ K\JLHQH
                 o  .HHS GU\
                 o  5HFXUUHQFHV DUH FRPPRQ
            •  &RQVLGHU ZHLJKW ORVV LI DSSURSULDWH
            •  )ROORZ XS $FWLRQV
                 o  5HWXUQ IRU IXUWKHU HYDOXDWLRQ LI V\PSWRPV GR QRW LPSURYH ZLWKLQ   ZHHNV
          Preceptor Directive:
            •  Green Directive: Routine Review by Preceptor IAW AFI 44-103















                                          [ 83 ]
   79   80   81   82   83   84   85   86   87   88   89