ID

Question 1

History points in ID history ?

Answer 1

Destination, dates (departure return)
Risk factors:
- Pre-travel: prophylaxis & compliance, Vaccination

-Contacts : Fellow traveller, sex, animals & insects

• Activates:
  –work/play,
  –housing (AC, nets),
  –Food (unpasteurised), alcohol, water.
  –Medical transfusion, needles

Question 2

What are you looking for on an ID Exam ?

Answer 2

1. Pharyngitis- strep, EBV, Lassa

-Lymphadenopathy- EBV,CMV, HIV, toxo, rickettsia

-Rash (Dengue, rickettsia, drugs)

Question 3

What general ID investigations should you get ?

Answer 3

fbc, u&e, LFT, crp, procal
Glucose
LDH
Malaria rapid test (thick and thin flims)
HIV test
Acute serum store (special back up)
BC, UC,?LP
Swabs: Resp
Chest x-ray

Question 4

ID: High neutrophil >200 crp

Answer 4

Extracellular
Pyogenic bacteria (Gram-positive cocci like Streptococcus and Staphylococcus.)
Spirochetes
Amoebic liver
Abscess

Question 5

What present of fever in the a returning traveller is not known?

Answer 5

25%