Date:
Patient:
Reason for Visit: Follow-up for strongyloidiasis
History of Present Illness:
Date of initial symptoms (if any):
Diarrhea (consistency, frequency, blood or mucus)
Abdominal pain (location, character, severity)
Rash (location, description)
Other symptoms (cough, fatigue, weight loss)
Travel history (endemics areas for strongyloidiasis)
Immunocompromised state (HIV, medications, etc.) – if applicable
Past Medical History:
Any prior diagnoses of parasitic infections
Social History:
Occupation (increased risk for exposure – barefoot contact with soil)
Recent contact with animals (dogs, cats)
Physical Exam:
Vital signs (temperature, heart rate, blood pressure)
Abdominal exam (distention, tenderness, bowel sounds)
Skin exam (presence of rash)
Labs:
Peripheral blood eosinophil count (elevated in most cases)
Stool ova and parasite (O&P) exam results (may be negative, consider repeat testing)
Consideration of serological testing (ELISA) for confirmation (if O&P negative)
Imaging:
Not routinely needed, may consider chest X-ray if respiratory symptoms present
Diagnosis:
Confirmed strongyloidiasis (if positive test results)
Presumed strongyloidiasis (if high clinical suspicion but negative tests)
Treatment:
Medication regimen (e.g., ivermectin, albendazole)
Duration of treatment
Plan:
Repeat stool O&P exam after treatment completion to assess cure
Consideration of additional testing for immunocompromised patients
Education on hygiene measures to prevent reinfection (proper sanitation, avoiding barefoot contact with contaminated soil)
Follow-up appointment schedule
Prognosis:
Excellent with proper treatment
Additional Information:
Document any complications from strongyloidiasis (e.g., disseminated disease)
Address any potential medication allergies or side effects