US Army medical course - Environmental Diseases and Injuries I (2006) MD0588 WW, Bio Med 26

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U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL
FORT SAM HOUSTON, TEXAS 78234-6100
ENVIRONMENTAL
DISEASES/INJURIES I
SUBCOURSE MD0588 EDITION 100
 DEVELOPMENT
This subcourse is approved for resident and correspondence course instruction. It
reflects the current thought of the Academy of Health Sciences and conforms to printed
Department of the Army doctrine as closely as currently possible. Development and
progress render such doctrine continuously subject to change.
ADMINISTRATION
Students who desire credit hours for this correspondence subcourse must meet
eligibility requirements and must enroll in the subcourse. Application for enrollment
course catalog in the upper right corner. Enter School Code 555 for medical
correspondence courses. Copy down the course number and title. To apply for
enrollment, return to the main ATRRS screen and scroll down the right side for ATRRS
Channels. Click on SELF DEVELOPMENT to open the application and then follow the
on screen instructions.
For comments or questions regarding enrollment, student records, or examination
shipments, contact the Nonresident Instruction Branch at DSN 471-5877, commercial
(210) 221-5877, toll-free 1-800-344-2380; fax: 210-221-4012 or DSN 471-4012, e-mail
accp@amedd.army.mil, or write to:
NONRESIDENT INSTRUCTION BRANCH
AMEDDC&S
ATTN: MCCS-HSN
2105 11TH STREET SUITE 4191
FORT SAM HOUSTON TX 78234-5064
CLARIFICATION OF TERMINOLOGY
When used in this publication, words such as "he," "him," "his," and "men" 'are intended
to include both the masculine and feminine genders, unless specifically stated otherwise
or when obvious in context.
USE OF PROPRIETARY NAMES
The initial letters of the names of some products may be capitalized in this subcourse.
Such names are proprietary names, that is, brand names or trademarks. Proprietary
names have been used in this subcourse only to make it a more effective learning aid.
The use of any name, proprietary or otherwise, should not be interpreted as endorsement,
deprecation, or criticism of a product; nor should such use be considered to interpret the
validity of proprietary rights in a name, whether it is registered or not.
TABLE OF CONTENTS
Lesson
Paragraphs
INTRODUCTION
1.
SNAKEBITES................................................................................. 1-1--1-10
Exercises
2.
BITES AND STINGS ...................................................................... 2-1--2-28
Section I.
Spiders ....................................................................... 2-1--2-9
Section II.
Insects........................................................................ 2-10--2-17
Section III. Fire Ants, Scorpions, Centipedes & Millipedes........... 2-18-2-26
Section IV. Injuries From Marine Life ........................................... 2-27-2-28
Exercises
3.
ANAPHYLAXIS & ANAPHYLACTIC SHOCK................................. 3-1--3-5
Exercises
4.
HEPATITIS..................................................................................... 4-1--4-18
Section I.
General ...................................................................... 4-1--4-4
Section II.
Type A Hepititis .......................................................... 4-5--4-10
Section III. Type B Hepititis .......................................................... 4-11--4-15
Section IV
Other Types of Hepititis.............................................. 4-16—4-18
Exercises
Appendix A
Snake Venom Poisoning and Antivenins
Appendix B
Glossary
MD0588
i
CORRESPONDENCE COURSE OF
THE U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL
SUBCOURSE MD0588
ENVIRONMENTAL DISEASES/INJURIES I
INTRODUCTION
This subcourse on environmental disease and injuries includes sections on
venomous snake bites, spider bites, insect stings and bites, anaphylactic shock,
poisonous marine animals, and hepatitis. The identification of types of snake bites and
types of venoms is the main concern of the section on snakes. The snakes described
here will be found mainly in the United States. For those soldiers assigned to other
parts of the world, supplementary information will be provided by proper persons when
an assignment is made. It is not possible to include all species of snakes and their
varieties in this subcourse. A LAC-USC Guide for Snake Venom Poisoning is included
at the end of the first lesson.
The spiders that are identified can be as lethal as some types of snakes, but
many of the insects are not. These insects are included because they are medically
important, in terms of pain and the possibility of an allergic reaction. Many people can
show an allergy that will progress to anaphylactic shock. Some types of marine life can
emit a poison that is more lethal than that of any snake, and many military personnel
are stationed at, or near the habitats of these animals. The lesson on hepatitis identifies
the various types of this disease. The routes of person to person transmission, and
disease precautions, will be of special interest.
Some of the terms used in this course, both medical and English, may be unfamiliar
to you. You, as a Medical NCO, will have frequent contact with the physician and
physician assistants. You need to understand and interpret their vocabulary. It would
be a wise idea to use one of the excellent medical dictionaries available in most
bookstores and libraries. Examples are
Dorland's Illustrated Medical Dictionary
(published by W. B. Saunders Company) or
Taber's Cyclopedia Medical Dictionary
(published by F. A. Davis Company). For general English usage, an example is
Webster's New Collegiate Dictionary
(published by G. and C. Merriam Company). Do
not feel constrained by these examples. Any good dictionary will be useful.
For your convenience, we have included a glossary of special terms at the end of
this subcourse. Take a few minutes to read this glossary before you start the lessons.
It will save you some dictionary time later. We suggest that you do not attempt to
master large amounts of this information at one sitting. This would be especially difficult
if some of the material is new to you.
MD0588
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Subcourse Components
:
The subcourse instructional material consists of four lessons as follows:
Lesson 1, Snake Bites.
Lesson 2, Bites and Stings.
Lesson 3, Anaphylaxis and Anaphylactic Shock.
Lesson 4, Hepatitis.
Here are some suggestions that may be helpful to you in completing this
subcourse:
--Read and study each lesson carefully.
--Complete the subcourse lesson by lesson. After completing each lesson, work
the exercises at the end of the lesson, marking your answers in this booklet.
--After completing each set of lesson exercises, compare your answers with those
on the solution sheet that follows the exercises. If you have answered an exercise
incorrectly, check the reference cited after the answer on the solution sheet to
determine why your response was not the correct one.
Credit Awarded
:
Upon successful completion of the examination for this subcourse, you will be
awarded 6 credit hours.
To receive credit hours, you must be officially enrolled and complete an
examination furnished by the Nonresident Instruction Branch at Fort Sam Houston,
Texas.
You can enroll by going to the web site
and enrolling under
"Self Development" (School Code 555).
A listing of correspondence courses and subcourses available through the
Nonresident Instruction Section is found in Chapter 4 of DA Pamphlet 350-59, Army
Correspondence Course Program Catalog. The DA PAM is available at the following
MD0588
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