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Flashcards in fever in returned traveller Deck (25):
1

approach to fever in returned traveller (5)

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

2

3 aspects of travel preps to ask about

1. immunizations
2. malaria prophylaxis
3. other meds

3

1 immunization that's not great

typhoid

4

what is important about incubation period

short = dengue
long = malaria

5

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

dengue

6

what to pay attention to on physical

derm rashes

7

*** 4 common infections seen

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

8

where are malaria and rickessiosis seen

africa

9

where is typhoid seen

india

10

*** WHAT IS FEVER FROM TROPICS UNTIL OTHER WISE

malaria

11

2 most common malarias and which is dangerous

1. falciparum - anger
2. vivax

12

which is most likely to present ealier

falciparum

13

why assume malaria

kills fast - can't distiguish clinically

14

2 tests for malaria

1. bloods
2. dip stick

15

2 blood tests and adv/dis

thick - sensitive
thin - species ID

16

adv of dip stick

fast and easy, sensitive

17

4 things we need to know for malaria

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

18

treatment of simple and severe malaria

simple - chloroquine and malorine
severe artesunate

19

*** key to dengue

short incubation

20

Sx of dengue

- cap leakage
- fever - often self limited
- rash

21

*** cause of typhoid

Gr - Baccillus
- fecal oral

22

features of typhoid

- often only prolonged fever
- Gr- baccilli

23

***feature of rickettsiosis

- fever - self-limiting
- tache noir -cigarette burn

24

what to remember about flu

year round in the tropics

25

3 tests for undifferentiated fever

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

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