PA Boards 102: Rocky Mountain Spotted Fever

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7 • 989 Ratings

🗓️ 14 November 2016

⏱️ 6 minutes

🔗️ Recording | iTunes | RSS

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Summary

After 10 years, the CDC finally updated their guidelines for RMSF. Today, we are going to review the presentation and treatment options for rocky mountain spotted fever. Left untreated, this carries a 20% mortality rate - so don't miss it!

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Transcript

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0:00.0	All right, so we're going to be talking about the new updated guidelines from the
0:06.6	CDC and this is specifically targeting Raketsial Disease.
0:10.8	Specifically, we're going to talk about Rocky Mountain Spotted Fever.
0:14.8	Now, this is a revision that hasn't been done since 2006.
0:19.2	So it's been 10 years before the CDC actually updated their guidelines and you know really the main
0:24.8	point that they're trying to drive across is that everybody should be treated with
0:28.4	doxycyclin regardless if you're a child or if you're an adult,
0:33.2	you should be treated with doxycyclin.
0:35.1	This is the only medication, aside from chloroemphonicol,
0:38.1	and we'll go into the details in a little bit,
0:40.0	that actually has proven efficacy against this disease.
0:43.8	It reduces mortality.
0:45.4	Cloronfernical is the only substitute or alternative,
0:49.7	but it's not as good as doxy cyclin. Now this Rocky Mountain spotted fever. This is really
0:55.5	transmitted by the dog tick and it's transmitting rickettsia ricketti and
0:59.7	really the symptoms when they initially present are going to be very nonspecific.
1:04.2	You're not going to be able to tie Rocky Mountain Spotted Fever based on symptoms alone
1:09.3	because they typically present with headache. The headache is for the most part going to be very severe.
1:14.0	Nausea with or without vomiting, you can have myalgias, arthralgias, so very, very nonspecific.
1:21.0	The problem that a lot of clinicians run into and the main thing that the
1:25.0	CDC is also trying to get across is that the rash may or may not be present.
1:30.0	Now, the rash, if it does does present is going to take three to five days for this to present.
	...

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