TIPS
REPORTABLE
DISEASES
The
following diseases should be reported to the Baltimore City Health Department,
303 E. Fayette St, Baltimore, MD 21202 (illnesses you are likely to see are in
bold). You can also obtain information
about prior diagnosis of patients you admit by calling their offices (TB
registry : 410-396-4444; Syphilis registry 410-396-4448)
Amebiasis; Animal bites; Anthrax; Botulism; Brucellosis; Chancroid;
Cholera; Diphtheria; Encephalitis; Gonococcal
infection; Granuloma inguinale; Haemophilus influenza Type B invasive
disease; Viral Hepatitis (A, B, C,
D, undetermined); HIV (only
symptomatic first case); Kawasaki syndrome; Legionellosis; Leprosy; Leptospirosis; Lyme disease; Lymphogranuloma venereum; Malaria; Measles (Rubeola);
Meningitis (viral, bacterial,
parasitic, fungal); Meningococcal disease; Mumps; Mycobacteriosis (other than TB and Leprosy); Pertussis; Pertussis
vaccine adverse reactions; Plague; Poliomyelitis; Psittacosis; Rabies; Rocky
Mountain Spotted Fever; Rubella (German Measles) and Congenital Rubella
Syndrome; Salmonella typhi carrier; Salmonellosis,
SARS; Shigellosis; Syphilis;
Tetanus, Trichinosis; Tuberculosis;
Tularemia; Typhoid fever.
Even though
the laboratory reports the disease, a physician must (by law) complete the yellow morbidity report card to
officially document the case.
Chemistry
Panels
ELECTROLYTE: Na, K, Cl, HCO3
BMP: Na,
K, Cl, HCO3, BUN, Cr, glucose, Ca
Note: for
quick anion gap, the electrolyte panel is faster than a BMP.
CMP: Na,
K, Cl, HCO3, BUN, Cr, glucose, Ca, TP, albumin, TB, alk phos, AST,
ALT
NEEDLESTICKS AND SPLASHES
Any
significant exposure to body fluids should be reported immediately to
5-STIX. This includes needlesticks as
well as body fluid exposures to mucous membranes and nonintact skin. If exposed, wash the affected area with soap
and water immediately. If splashed in
the face, go immediately to the Wilmer ER to have your eyes rinsed with normal
saline. If you document an occupational
injury, any subsequent care, even if prophylactic, is covered by the hospital.