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This document is a worksheet designed to assist healthcare providers in evaluating patients for smallpox, collecting pertinent patient information, clinical details, vaccination history, and exposure
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How to fill out WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX

01
Obtain the patient's medical history and assess recent travel or exposure.
02
Conduct a thorough physical examination, focusing on the skin for rashes or lesions.
03
Document the onset and progression of any symptoms such as fever, malaise, and body aches.
04
Check for characteristic smallpox lesions and their distribution on the body.
05
Confirm the presence of any associated symptoms, like lymphadenopathy.
06
Evaluate the patient's vaccination history related to smallpox.
07
Ensure that the worksheet is filled out accurately and completely for further evaluation.

Who needs WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX?

01
Healthcare professionals assessing patients for smallpox.
02
Public health officials conducting disease surveillance.
03
Emergency response teams preparing for potential outbreaks.
04
Any individual responsible for diagnosing infectious diseases in a clinical setting.
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Providers used the appearance of your rash and pattern of symptoms to diagnose smallpox. Providers can also test samples of your blood or tissue from your skin. They send the samples to a lab to look for viral DNA or antibodies to smallpox. The last diagnosed case of smallpox was in 1978.
Laboratory diagnosis of smallpox can be made by PCR, culture of vesicular or pustular fluid, or culture of the scab; it should only be performed by the LAC Public Health Laboratory, California Viral & Rickettsial Diseases Laboratory, and Centers for Disease Control and Prevention (CDC).
Smallpox presents with an acute onset of fever ≥101°F (38.3°C) followed by a rash characterized by firm, deep-seated vesicles or pustules. Conduct a thorough patient history and physical examination. Determine the patient's risk category using the major and minor diagnostic criteria for smallpox.
There are two types of smallpox: variola major and variola minor. Variola major is the more severe form and has a 30 to 50 percent fatality rate among those who are unvaccinated (3% in vaccinated persons). Variola minor has a one to two percent fatality rate in unvaccinated individuals.
Polymerase chain reaction (PCR) identification of variola DNA in a clinical specimen, OR. Isolation of smallpox (variola) virus from a clinical specimen (WHO Smallpox Reference Laboratory or laboratory with appropriate reference capabilities) with variola PCR confirmation.
Lesions usually appear first on the oropharynx, followed by the face and extremities, and then spread to the trunk, palms, and soles in a centrifugal pattern of distribution. Lesions develop uniformly throughout the disease and progress from macules to papules to vesicles over the course of 4 to 5 days.

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WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX is a standardized document used by healthcare professionals to assess and document symptoms, history, and potential exposure related to smallpox in patients.
Healthcare providers who suspect a patient may have smallpox or have been in contact with smallpox cases are required to file the WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX.
To fill out the WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX, healthcare professionals should provide detailed information regarding patient demographics, clinical symptoms, vaccination history, exposure history, and travel history as per the guidelines specified in the worksheet.
The purpose of WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX is to facilitate the timely identification, evaluation, and management of patients who may be infected with smallpox, ensuring appropriate public health responses.
Information that must be reported on WORKSHEET: EVALUATING PATIENTS FOR SMALLPOX includes patient identification details, clinical symptoms (such as fever and rash), vaccination status, history of exposure to potential smallpox cases, and travel history.
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