eBook - ePub
Clinical Cases in Tropical Medicine E-Book
Camilla Rothe
This is a test
Partager le livre
- 190 pages
- English
- ePUB (adapté aux mobiles)
- Disponible sur iOS et Android
eBook - ePub
Clinical Cases in Tropical Medicine E-Book
Camilla Rothe
DĂ©tails du livre
Aperçu du livre
Table des matiĂšres
Citations
Ă propos de ce livre
Using an easily accessible, highly templated format, Clinical Cases in Tropical Medicine, 2nd Edition, provides more than 100 realistic scenarios for tropical infectious diseases. Full-color photographs and maps, a convenient question-and-answer presentation, and succinct summary boxes help you identify and understand the tropical diseases you're likely to encounter. This up-to-date 2nd Edition is an excellent resource and study tool for infectious diseases fellows, doctors preparing for exams in tropical medicine, primary care doctors with patients who are global travelers, and global health nurses and practitioners alike.
- Offers realistic scenarios for encountering patients in rural, resource-poor settings, presenting cases as "unknowns, " just as in a real clinic or emergency situation.
- Covers newly emerging diseases such as Zika virus, severe fever with thrombocytopenia syndrome (SFTS), and knowlesi malaria.
- Features topics in migrant medicine of particular importance to clinicians in non-tropical countries, including louse-borne-relapsing fever, spinal brucellosis, and hyperreactive malarial splenomegaly.
- Includes "classic" tropical diseases such as African trypanosomiasis, chagas, leprosy, and yaws.
- Reflects the use of novel diagnostics used in resource-poor settings, as well as developing drug resistance in relevant cases.
- Provides a useful index and map that organize cases geographically, for a targeted approach to study.
- Serves as a companion to Manson's Tropical Diseases, with a reading list at the end of each case referring to the corresponding chapter in the larger text.
Foire aux questions
Comment puis-je résilier mon abonnement ?
Il vous suffit de vous rendre dans la section compte dans paramĂštres et de cliquer sur « RĂ©silier lâabonnement ». Câest aussi simple que cela ! Une fois que vous aurez rĂ©siliĂ© votre abonnement, il restera actif pour le reste de la pĂ©riode pour laquelle vous avez payĂ©. DĂ©couvrez-en plus ici.
Puis-je / comment puis-je télécharger des livres ?
Pour le moment, tous nos livres en format ePub adaptĂ©s aux mobiles peuvent ĂȘtre tĂ©lĂ©chargĂ©s via lâapplication. La plupart de nos PDF sont Ă©galement disponibles en tĂ©lĂ©chargement et les autres seront tĂ©lĂ©chargeables trĂšs prochainement. DĂ©couvrez-en plus ici.
Quelle est la différence entre les formules tarifaires ?
Les deux abonnements vous donnent un accĂšs complet Ă la bibliothĂšque et Ă toutes les fonctionnalitĂ©s de Perlego. Les seules diffĂ©rences sont les tarifs ainsi que la pĂ©riode dâabonnement : avec lâabonnement annuel, vous Ă©conomiserez environ 30 % par rapport Ă 12 mois dâabonnement mensuel.
Quâest-ce que Perlego ?
Nous sommes un service dâabonnement Ă des ouvrages universitaires en ligne, oĂč vous pouvez accĂ©der Ă toute une bibliothĂšque pour un prix infĂ©rieur Ă celui dâun seul livre par mois. Avec plus dâun million de livres sur plus de 1 000 sujets, nous avons ce quâil vous faut ! DĂ©couvrez-en plus ici.
Prenez-vous en charge la synthÚse vocale ?
Recherchez le symbole Ăcouter sur votre prochain livre pour voir si vous pouvez lâĂ©couter. Lâoutil Ăcouter lit le texte Ă haute voix pour vous, en surlignant le passage qui est en cours de lecture. Vous pouvez le mettre sur pause, lâaccĂ©lĂ©rer ou le ralentir. DĂ©couvrez-en plus ici.
Est-ce que Clinical Cases in Tropical Medicine E-Book est un PDF/ePUB en ligne ?
Oui, vous pouvez accĂ©der Ă Clinical Cases in Tropical Medicine E-Book par Camilla Rothe en format PDF et/ou ePUB ainsi quâĂ dâautres livres populaires dans Medicine et Infectious Diseases. Nous disposons de plus dâun million dâouvrages Ă dĂ©couvrir dans notre catalogue.
Informations
1: A 20-Year-Old Woman from Sudan With Fever, Haemorrhage and Shock
Daniel G. Bausch
Clinical Presentation
History
A 20-year-old housewife presents to a hospital in northern Uganda with a 2-day history of fever, severe asthenia, chest and abdominal pain, nausea, vomiting, diarrhoea and slight non-productive cough. The patient is a Sudanese refugee living in a camp in the region. She denies any contact with sick people.
Clinical Findings
The patient is prostrate and semiconscious on admission. Vital signs: temperature 39.6°C, (103.3°F) blood pressure 90/60 mmHg, pulse 90 bpm, and respiratory rate 24 cycles per minute. Physical examination revealed abdominal tenderness, especially in the right upper quadrant, hepatosplenomegaly and bleeding from the gums. The lungs were clear. No rash or lymphadenopathy was noted.
Questions
- 1. Is the patientâs history and clinical presentation consistent with a haemorrhagic fever (HF) syndrome?
- 2. What degree of nursing precautions need to be implemented?
Discussion
This patient was seen during an outbreak of Ebola virus disease in northern Uganda, so the diagnosis was strongly suspected. She was admitted to the isolation ward that had been established as part of the international outbreak response. No clinical laboratory data were available because, for biosafety reasons, such testing was suspended. Although it is a reasonable precaution, the suspension of routine testing often causes difficulty in ruling out the many other febrile syndromes in the differential diagnosis and increases mortality from other non-Ebola disease. Fortunately, many clinical laboratory tests can now be safely performed with point-of-care instruments, often brought into a specialized laboratory in the isolation ward, as long as the laboratory personnel are properly trained and equipped.
Answer to Question 1
Is the Patientâs History and Clinical Presentation Consistent with an HF Syndrome?
The clinical presentation is indeed one of classic viral HF. However, most times the diagnosis is not so easy. Although some patients, such as this one, do progress to the classic syndrome with haemorrhage, multiple organ dysfunction syndrome and shock, haemorrhage is not invariably seen (and may even be noted in only a minority of cases with some virus species), and severe and fatal disease may still occur in its absence. The clinical presentation of viral HF is often very non-specific. Furthermore, haemorrhage may be seen in numerous other syndromes, such as complicated malaria, typhoid fever, bacterial gastroenteritis and leptospirosis, which are the primary differential diagnoses, depending on the region.
Answer to Question 2
What Degree of Nursing Precautions Needs to be Implemented?
The spread of Ebola virus between humans is through direct contact with blood or bodily fluids. Secondary attack rates are generally 15% to 20% during outbreaks in Africa, and much lower if proper universal precautions are maintained. Specialized viral HF precautions and personal protective equipment are warranted when there is a confirmed case or high index of suspicion, such as in this case.
The Case Continued. . .
Intravenous fluids, broad-spectrum antibiotics and analgesics were begun on admission. Nevertheless, the patientâs condition rapidly worsened, with subconjunctival haemorrhage, copious bleeding from the mouth, nose and rectum (Figs. 1.1 and 1.2), dyspnoea and hypothermic shock (temperature 36.0°C, blood pressure = unreadable, pulse 150 bpm, respiratory rate 36 cycles per minute). She became comatose and died approximately 24 hours after admission. Laboratory testing at a specialized laboratory established as part of the outbreak response showed positive ELISA antigen and PCR tests for Ebola virus and a negative result for ELISA IgG antibody, confirming the diagnosis of Ebola virus disease.