Microbiology 24 - Fever in the Returning Traveller Flashcards Preview

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Flashcards in Microbiology 24 - Fever in the Returning Traveller Deck (20)
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1

Recall some differentials for fever and rash in the returning traveller

Viral: dengue, chickungunya, measles
Bacterial: typhoid (look for rose spots)

2

Recall some differentials for fever and abdo pain in the returning traveller

Typhoid fever
Amoebic liver abscess

3

Recall some differentials for fever and cytopaenias in the returning traveller

Dengue, chickungunya, typhoid, malaria

4

Recall some differentials for fever and haemorrhage in the returning traveller

Viral haemorrhagic fevers (dengue/ ebola)
Meningococcaemia

5

Recall a differential for fever and eosinophilia in the returning traveller

Schistosomiasis

6

Recall some differentials for fever > 6 weeks post-travel in the returning traveller

Vivax malaria
Acute hepatitis
TB
Amoebic liver abscess

7

What % of parasitaemia constitutes a severe malaria?

>2%

8

What is the treatment for falciparum malaria?

IV Artesunate

9

What type of mosquito carries malaria?

Female Anopheles

10

Recall the different types of malaria

Falciparum
Vivax
Ovale
Malariae
Knowelsi

11

What acid base abnormality may be seen in malaria?

Metabolic acidosis

12

Why is malaria sometimes known as 'blackwater fever'?

Due to the haemaglobinuria

13

What is the gold standard test for malaria?

Thick and thin blood films

14

What are the treatments for non-falciparum malaria?

Primaquine and chloroquine

15

What type of mosquito is a vector for dengue virus?

Aedes

16

What are the symptoms of dengue?

Fever
Headache
Myalgia
BLANCHING RASH

17

What cytopaenias are expected in dengue infection?

Thrombocytopaenia
Neutropaenia

18

What are the possible causative organisms in typhoid (enteric) fever?

Salmonella typhi/ paratyphi

19

What is the phrase "himalaya peak fevers" pathognemonic for?

Typhoid fever

20

What is the treatment of typhoid fever?

Ceftriaxone then azithromycin

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