fever in returned traveller

Question 1

approach to fever in returned traveller (5)

Answer 1

1. pre-travel prep
2. itinerary
3. epi and exposure Hx
4. history and physical
5. lab tests

Question 2

3 aspects of travel preps to ask about

Answer 2

1. immunizations
2. malaria prophylaxis
3. other meds

Question 3

1 immunization that’s not great

Answer 3

typhoid

Question 4

what is important about incubation period

Answer 4

short = dengue
long = malaria

Question 5

***if over 7 days, what can be ruled out

Answer 5

dengue

Question 6

what to pay attention to on physical

Answer 6

derm rashes

Question 7

*** 4 common infections seen

Answer 7

1. malaria
2. dengue
3. typhoid
4. ricketssiosis

Question 8

where are malaria and rickessiosis seen

Answer 8

africa

Question 9

where is typhoid seen

Answer 9

india

Question 10

*** WHAT IS FEVER FROM TROPICS UNTIL OTHER WISE

Answer 10

malaria

Question 11

2 most common malarias and which is dangerous

Answer 11

1. falciparum - anger

2. vivax

Question 12

which is most likely to present ealier

Answer 12

falciparum

Question 13

why assume malaria

Answer 13

kills fast - can’t distiguish clinically

Question 14

2 tests for malaria

Answer 14

1. bloods

2. dip stick

Question 15

2 blood tests and adv/dis

Answer 15

thick - sensitive

thin - species ID

Question 16

adv of dip stick

Answer 16

fast and easy, sensitive

Question 17

4 things we need to know for malaria

Answer 17

1. species
2. load
3. chloroquine resisiance
4. severe?

Question 18

treatment of simple and severe malaria

Answer 18

simple - chloroquine and malorine

severe artesunate

Question 19

*** key to dengue

Answer 19

short incubation

Question 20

Sx of dengue

Answer 20

• cap leakage
• fever - often self limited
• rash

Question 21

*** cause of typhoid

Answer 21

Gr - Baccillus

- fecal oral

Question 22

features of typhoid

Answer 22

• often only prolonged fever

- Gr- baccilli

Question 23

***feature of rickettsiosis

Answer 23

• fever - self-limiting

- tache noir -cigarette burn

Question 24

what to remember about flu

Answer 24

year round in the tropics

Question 25

3 tests for undifferentiated fever

Answer 25

1. think and thin bloods 2. blood cultures 3. CXR