(ID)- Fever In Returned Traveller Flashcards
What signs must you look for in patients with travel-related illness?
Diarrhoea
Vomiting
Jaundice
Lymphadenopathy
Hepatosplenomegaly
Respiratory symptoms
Cough
SOB
Rash
What are the most common tropical infections?
Malaria
Dengue fever
Typhoid fever
What must be established in a history for travel-related illness?
Where did they travel in last 12 months
Where did they stay?
When did they experience symptoms
What did they do? (activities)
What did they eat?
Did they have any sexual exposure abroad?
PMH and predisposed to infection
What should be asked about pre-travel?
Vaccinations against:
- Hepatitis A
- Hepatitis B
- Typhoid
- Tetanus
- Childhood vaccinations
- Yellow fever
- Rabies
PPE, insect repellent and bed-net use
Why are potential exposures so important to know?
Determines incubation period
What diseases do different incubation periods indicate?
0-10 days
Dengue
Rickettsia
Viral
10-21 days
Malaria
Typhoid
Primary HIV
> 21days
Malaria
TB
Parasitic infections
Bacterial infections
What investigations should be used for travel-related infections?
FBC
LFTs
U&Es
Blood cultures
Urinalysis
Stool culture
Malaria smears
HIV, HepB,C and Syphilis serology
