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CASE 7 CASE ANALYSIS - Coggle Diagram
CASE 7 CASE ANALYSIS
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SUBJECTIVE
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Contextual: has a partner(unemployed) , Ms Ndileka is a teacher
CLINICAL
Now presenting:Yellow discharge,generalised lymphadenopathy, foul smelling vaginal discharge
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PLAN
O:counselled regarding side effects and the importance of compliance, and both are started on the same regimen , given brochures about proper nourishment, about HIV and breastfeeding, and another on vertical HIV transmission
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S:benzathine penicillin in three doses a week apart to Mr Makamba, and given a course of oral erythromycin (the syndromic approach) , both given ARVs,Mr Makamba is also started on long term co-trimoxazole therapy to prevent opportunistic infections.
OBJECTIVE
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Subjective:HIV rapid test(Ms Mbilini) , Mr:On examination,has generalised lymphadenopathy, raised dark brown lesions on the skin on his lower legs as well as his abdomen and chest, evidence of past multidermatomal shingles (scar lesions on his back), and an ulcer at the base of his
ASSESSMENT
O:concerned about transmitting HIV to her baby, fears losing her job,feels ashamed, angry at her partner.Struggles to undersatnd how she was not infected at the beg. of her pregnancy but is now infected
C:Community>More than 5 million South Africans are infected with HIV, Family>>cousin whose baby died at the age of 3 months due to complications of HIV infection
S:Ms:New HIV infection, Mr:WHO clinical stage
Questions: 1.Is penicillin G benzathine used to treat a number bacterial infections, because I remember it is used to prevent ARF recurrence as well? 2.Usually an alternative drug choice would be Penicillin V for ARF. Would this be the same for syphilis , or it will vary? 3.Why does the fingerpricking test do not work for babies?
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