Prevention Book

http://www.fpnotebook.com/

Refugee Health ExamAka: Immigration Health Exam

Advertisement

  1. Indications
    1. Last examination prior to immigration
  2. Preparation
    1. Obtain Prior Exam records from Public Health Department
  3. General Exam
    1. Complete Medical Examination
    2. Vital signs
      1. Height
      2. Weight
      3. Blood Pressure
    3. Visual Acuity
    4. Hearing Testing
    5. Evaluate for Hansen's Disease
    6. Assess mental health needs
    7. Complete Dental Examination
  4. Labs
    1. Complete Blood Count (CBC) with differential
      1. Evaluate for Anemia
      2. Evaluate for Eosinophilia (parasitic infection)
    2. Consider Serum Chemistry Panel if indicated
    3. Consider Urinalysis and Urine Culture if indicated
    4. Consider Urine Pregnancy Test (urine HCG) if indicated
    5. Consider Urine for Gonorrhea and Chlamydia testing
    6. Human Immunodeficiency Virus (HIV Testing)
    7. Tuberculin Skin Testing (PPD)
      1. All patients age >6 months regardless of BCG vaccine
    8. Hepatitis B Serology
      1. xHBsAg
      2. xHBsAb
      3. Consider xHBcAb
      4. Treat carriers and evaluate and immunize contacts
      5. See Viral Hepatitis Screening
    9. Syphilis Serology (Rapid Plasma Reagin or VDRL)
      1. Indicated for age over 14 years
      2. Differentiate from Yaws
    10. Three stool specimens for Ova and Parasites
    11. Malaria if symptomatic or suspicious history
      1. Three thick and thin smears for Malaria parasites
  5. Immunizations
    1. If no record, begin Primary Series for age appropriate
  6. Resources
    1. Minnesota Department of Health Refugee Health Program
      1. http://www.health.state.mn.us/refugee

Navigation Tree