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Originally Posted by Brush Okie
Start him on antibiotics
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Type, dose, route, and reasoning please.
Quote:
Originally Posted by Brush Okie
Draw blood for a C&S and malaria test.
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I like this. Lets imagine you were a smart medic and brought a few Binax kits on the trip with you since you knew you were going to a malaria zone. Just a tiny little card that can give you instant screening for Malaria (developed here at Walter Reed, FWIW). The gold standard is still thick and thin smears, but this is small, fast, light, and effective. Your PT's BinaxNOW results are negative.
ANYONE with a fever and a relevant travel history has malaria until proven otherwise. It may be malaria/AND, but you always rule out malaria.
Quote:
Originally Posted by Brush Okie
Evac to nearest facility with X-ray and MRI. Chew his ass err I mean educate on the importance of finishing his antibiotics and hope he does not have resistant strain now.
What does his mouth look and fell like? Bad breath?
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Upon oral inspection you see the results of years of chewing tobacco and poor oral hygiene, and a number of fillings that the patient confirms are recent. Moderate gingivitis and halitosis is noted.