Special Operations Forces Medical Handbook

3-34

• Treat for Rickettsial Infection
  
  
  • Consider Typhoid Treatment
  
  
  
  


• Consider Scarlet Fever if Pharyngitis


• Consider Syphilis if Genital Ulcer


• Consider Dengue
  
  
  • Consider Schistosomiasis if
    swimming history
  
  
  
  

Diarrhea

YES

Tender or Draining

Lymph Node

Fecal Leukocytes?

NO YES

• Oral rehydration
  
  
  • Peptobismol or
    Loperamide
    
    
    • Oral rehydration
    
    
    
    
  
  
  
  


• Avoid Loperamide


• Give Ciprofloxacin or
  Azithromycin


• If no response try
  Metronidazole for
  possible
  Pseudomembranous
  Colitis (antibiotic
  associated Colitis)


• If no response
  consider parasites


• Check 0 & P


• Give Ciprofloxacin or
  Azithromycin

NO YES

• Obtain more Malaria smears
  
  
  • Repeat blood count
    
    
    • CXR
    
    
    
    
  
  
  
  


• May treat as Malaria if exposed


• Consider TB, Rickettsial infection,
  Brucellosis, Enteric fever and treat
  appropriately


• In absence of specific diagnosis
  observe closely, refer to care where
  other diagnostic capabilities available


• Consider Plague


• Aspirate Node for Gram Stain


• Blood Count


• Obtain CXR - Isolate if abnormal


• Give plague treatment with
  Gentamicin or Ciprofloxacin


• Consider Anti Staphylococcal
  Antibiotic (Dicloxacillin) as well


• Consider Cat Scratch Disease

NO

Modified by COL Naomi Aronson, MC, USA from an algorithm by Col Robert Gasser, Jr., USAF, MC