{"id":1214,"date":"2013-10-10T19:33:27","date_gmt":"2013-10-10T19:33:27","guid":{"rendered":"http:\/\/jacobimed.org\/NS\/?page_id=1214"},"modified":"2014-01-02T01:45:12","modified_gmt":"2014-01-02T01:45:12","slug":"immunizations-homepage","status":"publish","type":"page","link":"https:\/\/jacobimed.org\/old\/ambulatory\/mlove\/curriculumprevention\/immunizations\/immunizations-homepage\/","title":{"rendered":"Immunizations homepage"},"content":{"rendered":"

 <\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/h1>\n

\u00a0<\/span><\/strong><\/p>\n

 <\/p>\n

ADULT
\n<\/span>IMMUNIZATIONS<\/span><\/span><\/h2>\n

\u00a0By Lori
\nA. Lemberg, MD<\/span><\/p>\n

 <\/p>\n

\n\n\n\n
\n
\n


\n<\/span>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

\u00a0\u00a0 <\/span><\/strong><\/span>LEARNING
\nOBJECTIVES:<\/span><\/p>\n

<\/span><\/span>\u00a0\u00a0<\/span><\/p>\n

\u00a0\u00a0 <\/span><\/span>1.
\n<\/span>Knowledge of vaccination schedule for adults<\/p>\n

<\/span>\u00a0\u00a0 <\/span>2.
\n<\/span>Indications and effectiveness<\/p>\n

\u00a0\u00a0 <\/span>3.
\n<\/span>Side-effects and adverse reactions<\/p>\n

\u00a0\u00a0 <\/span>4.
\n<\/span>Cost<\/span><\/p>\n

\u00a0\u00a0 <\/span><\/span><\/strong><\/p>\n

 <\/p>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n


\n<\/span><\/span><\/strong><\/p>\n

Case
\n#1:<\/span><\/span><\/span><\/p>\n

 <\/p>\n


\n<\/span><\/span>
\n<\/span>A 23-year-old male comes to see you for a complete physical examination
\nrequired by his new job as a laboratory technician.
\n<\/span>He has recently immigrated to New York from his home in Ecuador.<\/span><\/span><\/p>\n

 <\/p>\n


\n<\/span><\/span>Which
\nvaccinations would you offer him and why?
\n<\/span><\/span><\/em><\/strong><\/span><\/em><\/strong><\/p>\n

 <\/p>\n


\nA<\/span>)
\n<\/span>Hepatitis B<\/p>\n

B) Hepatitis A<\/span><\/p>\n

C)
\n<\/span>HIV<\/p>\n

D)
\n<\/span>Td<\/p>\n

E)
\n<\/span>MMR<\/p>\n

F)
\nM<\/span><\/span>easles<\/p>\n

G)
\n<\/span><\/span>A,B,C,D,E<\/p>\n

H)
\n<\/span>A,B,D,F<\/p>\n

I)
\n<\/span>A,D,E<\/p>\n

J)
\n<\/span>A,D,F<\/span><\/span><\/span><\/p>\n

 <\/p>\n


\n<\/span><\/strong><\/em><\/span>Discuss
\nrisks and benefits of each vaccine, including side effects.<\/span><\/span><\/em><\/strong><\/p>\n

 <\/p>\n


\n<\/span><\/em>Click
\nhere for answer<\/a><\/span><\/strong><\/p>\n

 <\/p>\n

\n

 <\/p>\n

Case
\n#2<\/span><\/span><\/span>:<\/span><\/span><\/p>\n

 <\/p>\n

\u00a0
\n<\/span>
\n<\/span><\/span>A
\n67-year-old female comes to see you in your office for her regular fall
\nfollow-up physical examination.
\n<\/span>She has a history of hypertension and asthma, and is on chronic
\nmedications.<\/span><\/span><\/p>\n

 <\/p>\n

\u00a0
\n<\/span>\u00a0<\/span><\/span>What
\nimmunizations would you offer at this visit, or insure that she has <\/em><\/strong><\/span>received?
\n<\/strong><\/em><\/span><\/span><\/span><\/p>\n

\n
\n
\n

A)
\nPneumococcal Vaccine<\/p>\n

B) Hepatitis B<\/p>\n

C) Influenza Vaccine<\/p>\n

<\/span>D) A & C<\/p>\n

E) all of the above<\/span><\/span><\/p>\n

 <\/p><\/blockquote>\n<\/blockquote>\n<\/blockquote>\n


\n<\/span>\u00a0<\/span>
\n<\/span>Discuss
\nthe immunizations risks and benefits, indications and side effects.<\/span><\/span><\/em><\/strong><\/p>\n

\n
\n\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/span>Click
\nhere for answer<\/a><\/span><\/p>\n

 <\/p>\n

\u00a0<\/span><\/p>\n

Case
\n#3<\/span><\/span><\/span>:<\/span><\/span><\/p>\n

 <\/p>\n


\n<\/span><\/span>You are
\nseeing a 35 year-old HIV+ patient in the ACS clinic.
\n<\/span>\u00a0<\/span><\/span><\/p>\n

 <\/p>\n


\n<\/strong><\/em><\/span><\/span>
\n<\/span>Which vaccine IS NOT contraindicated?
\n<\/span><\/span><\/span><\/em><\/strong>\u00a0<\/span><\/em><\/strong><\/p>\n

\n
\n
\n

A)
\nOral Tyhpoid Vaccine<\/span><\/p>\n

<\/em><\/strong>B<\/em><\/strong>)<\/em><\/strong>\u00a0\u00a0\u00a0
\nHepatitis A Vaccine<\/span><\/span><\/p>\n

C)
\n<\/span><\/strong><\/em>MMR<\/span><\/span><\/p>\n

D)\u00a0\u00a0\u00a0<\/em><\/strong>
\n<\/em><\/strong>O<\/em><\/strong>r<\/em><\/strong>a<\/em><\/strong>l<\/em><\/strong>
\n<\/em><\/strong>P<\/em><\/strong>o<\/em><\/strong>l<\/em><\/strong>i<\/em><\/strong>o<\/em><\/strong>
\n<\/em><\/strong>V<\/em><\/strong>a<\/em><\/strong>c<\/em><\/strong>c<\/em><\/strong>i<\/em><\/strong>n<\/em><\/strong>e<\/strong><\/em><\/p>\n

E)\u00a0\u00a0\u00a0<\/strong><\/em>
\n<\/strong><\/em>V<\/strong><\/em>a<\/strong><\/em>r<\/strong><\/em>i<\/strong><\/em>c<\/strong><\/em>e<\/strong><\/em>l<\/strong><\/em>l<\/strong><\/em>a<\/strong><\/em>
\n<\/strong><\/em>V<\/strong><\/em>a<\/strong><\/em>c<\/strong><\/em>c<\/strong><\/em>i<\/strong><\/em>n<\/strong><\/em>e<\/em><\/strong><\/span><\/span><\/span><\/em><\/strong><\/p>\n

 <\/p><\/blockquote>\n<\/blockquote>\n<\/blockquote>\n


\n<\/span>
\n<\/span>Discuss the risks and benefits of immunizing an immunocompromised person,
\n<\/span><\/span><\/em><\/strong>\u00a0\u00a0 <\/span><\/span>side
\neffects and contraindications.
\n<\/span><\/span>
\n<\/span><\/em><\/strong><\/h5>\n

\nClick here for answer<\/a><\/span>
\n<\/a><\/span><\/h5>\n

 <\/p>\n

\u00a0\u00a0
\n<\/span><\/span><\/em><\/strong><\/p>\n

Case#4<\/span><\/span><\/span>:<\/span><\/span><\/p>\n

 <\/p>\n


\n
\n<\/span><\/span>A 25-year
\nold woman comes to your office for a routine visit, and advice concerning
\nimmunization before her trip to India.
\n<\/span><\/span><\/p>\n

 <\/p>\n

\u00a0
\n<\/span><\/span>What
\nconcerns would you have regarding immunizations and her reproductive
\n<\/span>history?<\/span><\/em><\/strong><\/span><\/p>\n

<\/span><\/p>\n

\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0C<\/span><\/a><\/span>lick
\nhere for answer<\/a>
\n<\/span><\/p>\n

 <\/p>\n


\n<\/span><\/strong><\/em><\/span>What
\nimmunizations would you offer this patient?<\/span><\/span><\/em><\/strong><\/p>\n

 <\/p>\n

\u00a0<\/span><\/em><\/strong><\/p>\n

<\/span><\/span>
\n<\/span>
\n<\/span>
\n<\/span>Click here for answer
\n<\/span><\/a>
\n<\/span><\/p>\n

 <\/p>\n

\u00a0<\/span><\/em><\/strong><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

  \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0   ADULT IMMUNIZATIONS \u00a0By Lori A. Lemberg, MD   \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0 LEARNING OBJECTIVES: \u00a0\u00a0 \u00a0\u00a0 1. Knowledge of vaccination schedule for adults \u00a0\u00a0 2. Indications and effectiveness \u00a0\u00a0 3. Side-effects and adverse reactions \u00a0\u00a0 4. Cost \u00a0\u00a0   Case #1:   A 23-year-old male comes to see you for a complete physical….<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1212,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1214","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=1214"}],"version-history":[{"count":3,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1214\/revisions"}],"predecessor-version":[{"id":2293,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1214\/revisions\/2293"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1212"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=1214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}