Sandbox:YK
Fournier's gangrene
| Physiologic Variables | High Abnormal Values | Normal | Low Abnormal Values | ||||||
|---|---|---|---|---|---|---|---|---|---|
| +4 | +3 | +2 | +1 | 0 | +1 | +2 | +3 | + 4 | |
| Temperature | >41 | 39-40.0 | 38.5-39 | 36-38.4 | 34-35.9 | 32-33.9 | 30-31.9 | <29.9 | |
| Heart Rate | >180 | 140-179 | 110-139 | 70-109 | 55-69 | 40-54 | <39 | ||
| Respiratory Rate | >50 | 35-49 | 25-34 | 12-24 | 10-11 | 6-9 | <5 | ||
| Serum Sodium (mmol/L) | |||||||||
| Serum Potassium (mmol/L) | |||||||||
| Serum Creatinine (mg/100/ml*2 for acute renal failure) |
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| Hematocrit | |||||||||
| WBC (Total/mm*1000) | |||||||||
| Serum Bicarbonate (Venous,mmol/l) | |||||||||
| Region | Gender | Incidence/100,000 | Prevalence/100,000 |
|---|---|---|---|
| Region 1 | M | Incidence | Prevalence |
| F | Incidence | Prevalence | |
| Region 2 | M | Incidence | Prevalence |
| F | Incidence | Prevalence | |
| Region 3 | M | Incidence | Prevalence |
| F | Incidence | Prevalence | |
| Region 4 | M | Incidence | Prevalence |
| F | Incidence | Prevalence | |
| Region 5 | M | Incidence | Prevalence |
| F | Incidence | Prevalence |
Zika Prevention
| How Long to Wait Before Attempting to Have a Baby in Zika Endemic areas | ||
| Presence of Symptoms | Women | Men |
|---|---|---|
| Zika symptoms | At least 8 weeks after symptoms start | At least 6 months after symptoms start |
| No Zika symptoms | Talk with doctor or healthcare provider | Talk with doctor or healthcare provider |
Zika sexual transmission
| For People Who Have Traveled to an Area with Zika | ||
| If you are pregnant | Pregnant women should not travel to areas with Zika. If you must travel to an area with Zika, talk to your healthcare provider. | |
| If your partner is pregnant | Use condoms correctly, every time you have vaginal, anal, or oral sex or do not have sex for the entire pregnancy. | |
| If you and your partner are planning a pregnancy | Discuss your plans for pregnancy with a healthcare provider to determine your risk and the options available. | |
| If you or your partner are not pregnant and are not planning a pregnancy | Men - consider using condoms or not having sex for at least 6 months after travel (if you don’t have symptoms) or for at least 6 months from the start of symptoms (or Zika diagnosis) if you develop Zika. Women- consider using condoms or not having sex for at least 8 weeks after travel (if you don’t have symptoms) or for at least 8 weeks from the start of symptoms (or Zika diagnosis) if you develop Zika. | |
| For People Living in an Area with Zika | ||
| If you or your partner are pregnant | Use condoms from start to finish, every time you have vaginal, anal, or oral sex or do not have sex for the entire pregnancy. It is also very important to see a healthcare provider to discuss your options during pregnancy | |
| If you and your partner are planning a pregnancy | Discuss your plans for pregnancy with a healthcare provider to determine your risk and the options available. | |
| If you or your partner are not pregnant and are not planning a pregnancy | Consider using condoms or not having sex as long as there is Zika in the area. If either you or your partner develop symptoms of Zika or have concerns, talk to a healthcare provider and follow the guidelines on the left. | |
Hand foot and mouth disease
| Viruses | Serotypes |
|---|---|
| Coxsackieviruses | A2, A4 to A10, A16, B2, B3, B5 |
| Echoviruses | 1, 4, 7, 19 |
| Enteroviruses | A71 |
HFMD
| Infection | Presentation |
|---|---|
| Herpes simplex virus stomatitis | • Associated with high grade fever, acute gingivitis and oral ulcerations • The vesicles are small, grouped together and on an erythematous base • Absence of rash on palms and soles • A Tzanck test shows multinucleated giant cells and direct fluorescent antigens test can also help to differentiate hand-foot-and-mouth disease from herpes simplex virus infection |
| Herpangina | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Bacteremia and sepsis | Leucocytosis >15,000 cells/mL OR serum creatinene level >1.5 times baseline or abdominal tenderness and serum albumin < 3 g/dL |
| Chickenpox | Hypotension or shock, ileus, megacolon, leucocytosis >20,000 cells/mL OR leucopenia <2,000, lactate >2.2 mmol/L, delirium, fever ≥ 38.5 °C, organ failure |
| Measles | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Pharyngitis | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Stevens-Johnson syndrome or Erythema multiforme |
Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Henoch-Schönlein purpura | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Kawasaki disease | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Behcet's disease | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |
| Pemphigus vulgaris | Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline |