「Travel health」の版間の差分
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==case studies== | ==case studies== | ||
+ | ===pretravel=== | ||
case 1 | case 1 | ||
**give information possible diseases during the travel, such as zika, rabies, yellow fever, measles, exacerbation of his chronic illness exp. diabetes and coronary disease | **give information possible diseases during the travel, such as zika, rabies, yellow fever, measles, exacerbation of his chronic illness exp. diabetes and coronary disease | ||
24行目: | 25行目: | ||
case 3 | case 3 | ||
+ | |||
+ | 25 y/o British male | ||
+ | * | ||
+ | |||
+ | ===posttravel=== |
2021年5月14日 (金) 10:37時点における版
SARS in 2003
HPV
rabies vac in Japan
when to repeat PrEP for rabies?
most frequent chemoprophylaxis of malaria in you clinic? doxycycline, atovacon-proguanil, mefloquine?
case studies
pretravel
case 1
- give information possible diseases during the travel, such as zika, rabies, yellow fever, measles, exacerbation of his chronic illness exp. diabetes and coronary disease
- confirm his immunization status as much as possible and propose to do serological tests for measles and rubella
- give information about possible travel restriction regarding YF vaccine when to enter to Bolivia and discuss whether or not to get shot
- recommend vaccines of measles, rubella, PPSV23, tetanus toxoid and typhoid (because of antacid) according to his immunization status
- discuss with him whether to do rabies PrEP
- prescribe acetazolamide for 3-4 days, give direction to start 24hrs before ascending and keep for 2 days on high altitude, as well as to secure emergency descending when he gets AMS symptoms like headache, difficulty to sleep, malaise, loss of appetite
- advise when to use insulin and to keep diabetes emergency card with him
- advise to keep repellent during travel except for high altitude area
case 2
case 3
25 y/o British male