「Travel health」の版間の差分

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==case studies==
 
==case studies==
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===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
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case 3
 
case 3
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25 y/o British male
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*
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===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

posttravel