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Danielle Costanza Case Study

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CC Danielle is a 29-year-old female here today to discuss her upcoming travel. HPI The patient tells me she will be traveling to Nicaragua in the early part of July. She will be staying in the León area for a couple of weeks and then will be in an area closer though more rural than that, following that. Beyond that, she will be traveling to somewhere either in Africa or Europe to be teaching for approximately a year. She is not sure through yet, which area she will be in. She will be going there for a course, as well as building a library. She previously lived in Nicaragua when she was in the Peace Corp. She received travel immunizations prior to that. She was there in 2009 until 2011. However, she is not sure which immunizations …show more content…

BP: 112/60. HR: 70. R: 12. W: 136. General A well-developed, well-nourished female in no distress seated comfortably in the exam room. We did review her chart. It does show a Tdap in October 2008. She did receive her seasonal flu vaccine in the past fall and she did have the Pneumovax in October 2011. I do not have records of any other vaccines including travel vaccines. A/P Danielle Costanza is a 29 -year-old female here today to discuss her upcoming travel. I did review with her the CDC recommendations for guidelines for traveling to Nicaragua area. I did give her a lab slip to check her hepatitis A and hepatitis B antibodies and if indicated, we will write her an order for these immunizations. My suspicion is that she is immune already. She and I talked about the typhoid recommendations. She elected to want to take the oral typhoid vaccine, she was written for typhoid vaccine 1 capsule every other day for four dose #4 with no refills, and I did discuss with her the side effects and use the guidelines for that. In addition, we talked about malaria prevention. She was written for Malarone, one p.o. daily to start one to two days prior to travel. Take daily during travel, to take for one week following travel #90 with no refills. This should cover her trip to Nicaragua. She will let me know if she is having any other problems or concerns and I plan on seeing her back for routine care. She will call for the results of her testing, if

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