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XX is a regular patient of this clinic, and PMH and previous exams are all on record at this facility. XX neither indicates nor verbalizes any chief complaints; all were noted and brought forward by the mother, XX XX states that XX began having a flattened affect and anorexia approximately three days prior.
Yesterday morning XX began exhibiting polydipsia and diarrhea. XX had no complications during birth, and records indicate no pre-natal, natal, or neonatal complications or distress.
XX, despite apparent normal growth and development has significant PMH for a child of two years. XX has never suffered accident or trauma, has had no surgery, and was only hospitalized for 2 days as part of the treatment for Rickets. Objective On exam vital signs were P: Skin is warm to hot, dry, and consistent in color with minor tenting noted on the forearms.
Chest normal in appearance with no dyspnea noted. On auscultation lungs had CBBS, and equal chest rise with no retractions or accessory muscle usage noted. Heart tones were unremarkable. Abdomen has hyperactive bowel sounds in the lower quadrants, and upon palpation is soft, but patient seems to indicate tenderness in all quadrants through withdraw.
No deformities, masses, swelling, or pulsating noted on palpation. Extremities and posterior thorax are normal and patient can ambulate without assistance. Samples for both UA and stool cultures were obtained and sent to the lab. All UA findings were within normal limits, but stool culture showed Giardia lamblia trophozoites present in sufficient numbers to warrant a diagnosis of Giardiasis Giardia.
Pathophysiology of Diagnosis Giardia lamblia is a species of the genus protozoa. This protozoan is bi-nucleated and possesses four sets of flagella.
Therefore, the most common route of infection is through ingestion of food or water contaminated with fecal matter particles containing the Giardia cysts. Once infested in the intestine, studies have shown that G. Infestation can present with signs and symptoms of diarrhea, fever, cramps, anorexia, nausea, weakness, weight loss, abdominal distention, flatulence, greasy stools, belching and vomiting.
Symptom onset is usually around two weeks after exposure, and if untreated can last indefinitely, but usually only two to three months. The perpetuation and epidemiology of G.
Except for ensuring clean water quality, there is no known chemoprophylaxis for Giardiasis. Treatment, though, is usually uncomplicated and involves a standard course of metronidazole, furazolidone, or quinacrine.
Treatment Performed XX was given a prescription for metronidazole Flagyl. So, XX was given a prescription for 5 tablets divided into quarters 20 The treatment course then lasted almost one full week, and although it was a longer course with a greater total dose than recommended, it was felt this would be more effective given the questionable method of administration, which by its very nature, left ample room for error.
To date it is still unknown how XX contracted Giardiasis, and although several educated guesses were made, they were, indeed, guesses. I was very impressed with the adaptability and creativeness demonstrated by the healthcare providers in XX in overcoming these difficulties.
One last consideration would be the nature of the parasitic spread of this disease as it relates to EMS. This case only emphasizes the fact that every kind of pathology carries a danger of infection.OVERVIEW. The Paramedic is expected to have a commanding knowledge of human physiology, symptomology, and pharmacology, but there is a more sobering side to paramedic practice that even the most knowledgeable Paramedic cannot overlook; the legal side.
The legal side of EMS affects almost every Paramedic action from their duty to act to how Paramedics conduct themselves in the field. The course will offer you the opportunity to develop a wide range of clinical skills each year, with underpinning theoretical knowledge.
The focus is on the out . Become a Paramedic with the South Western Ambulance Service NHS Foundation Trust.
You will find everything you need to know about our current paramedic vacancies, how to apply and further information about the South Western Ambulance Service NHS Foundation Trust, as well as an insight as to what it’s really like to work on our team.
In accordance with the College of Paramedics Curriculum Guidance, this course incorporates key areas of the physical and life sciences, social health, behavioural and clinical sciences, ethics and law, leadership and evidence/research-based practice. This is a collection of paramedic study notes that I have collected throughout the past 10 years of being employed as a paramedic and sitting multiple paramedic exams and re-certifications.
Paramedic Training A paramedic is a certified emergency medical technician who helps care for sick or injured people. The specific job roles for a paramedic varies somewhat from state to state, and from employer to employer, but follows some basic patterns.