「Travel health」の版間の差分
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| 12行目: | 12行目: | ||
===pretravel=== | ===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 | |
| − | + | *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 2 | ||
| 40行目: | 40行目: | ||
===posttravel=== | ===posttravel=== | ||
| + | 21 y/o Angolan female | ||
| + | * | ||
| + | |||
| + | 68 y/o Japanese male | ||
| + | *rhabdomyolysis by ''P. knowlesi'', very rare | ||
| + | |||
| + | 19 y/o Chinese male | ||
| + | *VZV transmissibility decreases in more tropic areas | ||
| + | *VZV immunity is gotten later than temperate areas like in adolescent or later adult age | ||
2021年5月14日 (金) 11:48時点における版
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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
- 母子手帳= mother child health handbook
22 y/o Japanese male
- budget 50,000JPY
- MMRx1 6,000
- tetanusx1 3,000
- poliox1 5,000
- HepAx2 10,000
- HepBx2 10,000
- JEx1 5,000
- malaria chemp. according to advice to avoid forested area
posttravel
21 y/o Angolan female
68 y/o Japanese male
- rhabdomyolysis by P. knowlesi, very rare
19 y/o Chinese male
- VZV transmissibility decreases in more tropic areas
- VZV immunity is gotten later than temperate areas like in adolescent or later adult age
