Page 87 - 2021 IDMT Digital
P. 87

CONTACT DERMATITIS
          Introduction:
            •  $FXWH RU FKURQLF GHUPDWLWLV IURP GLUHFW VNLQ FRQWDFW ZLWK FKHPLFDOV RU DOOHUJHQV
            •  7\SHV
                 o  ,UULWDQW FRQWDFW GHUPDWLWLV      GXH WR H[FHVVLYH H[SRVXUH WR LUULWDQWV  VRDSV
                    GHWHUJHQWV  RUJDQLF VROYHQWV
                 o  $OOHUJLF FRQWDFW GHUPDWLWLV  PRVW FRPPRQ FDXVHV DUH SRLVRQ LY\ RDN  WRSLFDO
                    DQWLPLFURELDOV  DQHVWKHWLFV  KDLU FDUH SURGXFWV  MHZHOU\  QLFNHO   UXEEHU  HVVHQWLDO
                    RLOV  DGKHVLYH WDSH
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  ,WFKLQJ  EXUQLQJ  DQG VWLQJLQJ PD\ EH VHYHUH
                 o  /RFDWLRQ ZLOO RIWHQ VXJJHVW FDXVH
                       ƒ  6FDOS  KDLU G\HV  VKDPSRRV
                       ƒ  )DFH  FUHDPV  FRVPHWLFV  VRDSV
            •  )RFXVHG +LVWRU\
                 o  2FFXSDWLRQDO H[SRVXUHV
                 o  2XWGRRU DFWLYLWLHV
                 o  1HZ ERG\ RU KDLU SURGXFWV
          Objective:
            •  3K\VLFDO ([DP
                 o  $OOHUJLF FRQWDFW GHUPDWLWLV  DFXWH SKDVH FKDUDFWHUL]HG E\ WLQ\ YHVLFOHV  ZHHS\
                    DQG FUXVWHG OHVLRQV
                 o  5HVROYLQJ RU FKURQLF FRQWDFW GHUPDWLWLV  VFDOLQJ  HU\WKHPD  SRVVLEO\ WKLFNHQHG
                    VNLQ
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                 o  $IIHFWHG DUHD PD\ EH KRW  VZROOHQ DQG FRPSOLFDWHG E\ LQIHFWLRQ
                 o  7\SLFDO SDWWHUQ  OLQHDU VWUHDNHG YHVLFOHV
          Assessment:
            •  'LIIHUHQWLDO
                 o  6HERUUKHLF GHUPDWLWLV  OHVV SUXULWLF  IUHTXHQW VFDOS DQG IDFH LQYROYHPHQW  JUHDV\
                    DQG VFDO\ OHVLRQV  TXLFN UHVSRQVH WR WKHUDS\
                 o  6WDSK\ORFRFFDO LQIHFWLRQV  PD\ H[DFHUEDWH DWRSLF GHUPDWLWLV  FRQVLGHU GXULQJ
                    K\SHUDFXWH  ZHHS\ IODUHV RI DWRSLF GHUPDWLWLV
                 o  3VRULDVLV  FKURQLF LQIODPPDWRU\ GLVHDVH  SUHVHQWV ZLWK VKDUSO\ GHPDUFDWHG
                    SODTXHV ZLWK VLOYHU\ VFDOHV  IDYRUV H[WHQVRU VXUIDFHV
                 o  $WRSLF GHUPDWLWLV  HF]HPD  SRRUO\ GHPDUFDWHG SODTXHV FRPPRQ RQ IOH[XUDO
                    VXUIDFHV
                 o  7LQHD FRUSRULV RU WLQHD FLUFLQDWD  ULQJ VKDSHG ZLWK DQ DGYDQFLQJ VFDO\ ERUGHU DQG
                    FHQWUDO FOHDULQJ
















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