Tumor Necrosis Factor Blocker Patient Instructions | Medical Algorithm

Are you a patient about to start TNF-alpha blocker therapy?

Yes

Will you inform your physician about any past or future exposures to the following?

• old buildings?

Yes

• chicken coops or bird roosts?

Yes

• old wood piles?

Yes

• caves?

Yes

• travel to regions where histoplasmosis is endemic?

Yes

Have you failed to tell your doctor of?

• a past diagnosis of histoplasmosis?

Yes

• any unexplained pneumonia within the past 2 years?

Yes

Will you immediately report any of the following signs and symptoms to your doctor?

• unexplained or prolonged fevers?

Yes

• night sweats?

Yes

• chronic cough?

Yes

• fatigue?

Yes

• unexplained weight loss?

Yes

• headaches?

Yes

• sores in the mouth or involving skin?

Yes

• abdominal pain?

Yes

• diarrhea?

Yes

• bloody bowel movements?

Yes

• any unexplained complaint?

Yes

Please fill out required fields.

Data complete?

Evaluation appropriate?

Number of things that still need to be reported to the doctor before starting therapy

Number of things that must not be left out in discussions with your doctor

Your chances of having a significant problem with histoplasmosis during TNF blocker therapy are

Caution: A qualified health practitioner should verify all results.
Keep patient data confidential and comply with all legal requirements.

Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10

Tumor Necrosis Factor (TNF) Blocker Therapy | Instructions to Avoid Histoplasmosis

Purpose: To instruct a patient about to start tumor necrosis factor alpha (TNF alpha) blocker therapy on steps to help avoid histoplasmosis.

Evaluation

Results

Please fill out required fields.

Interpretation and Description

References

Specialty

Objective

ICD-10