Asylum seekers Dan

Question 1

T/F, regarding asylum seekers;

Staph and strep are most common infections

Answer 1

True

Question 2

Which infections should be considered where prolonged immersion in water has occurred?

Answer 2

Aeromonas spp
pseudomonas spp
rapid growing mycobacteria
burkholderia pseudomallei

Question 3

Which infections should be considered where prolonged immersion in sea water has occurred?

Answer 3

Vibrio spp

atypical myco esp M. marinum

Question 4

T/F, regarding asylum seekers;
The folowing infections endemic overseas should be considered;
malaria, dengue, leprosy, African trypansomiasis, leishmaniasis, Zika virus, Ebola, bird flu, HIV, tuberculosis

Answer 4

True

Question 5

T/F, regarding asylum seekers;
They are often unvaccinised and may present with preventable disease including measles, rubella, tetanus, diphtheria and hepB

Answer 5

True

Question 6

T/F, regarding asylum seekers;

They are usually honest in regards to their vaccination status

Answer 6

False

Tendency to overstate vaccination status

Question 7

T/F, regarding asylum seekers;

When presenting with skin complaints it is prudent to take thorough history and examine entire body surface

Answer 7

True

Question 8

What tool can be used to guide the assessment of persons who allege torture and ill treatment?

Answer 8

Istanbul protocol (UN, 1999) – a set of international guidelines for the assessment of persons who allege torture and ill treatment

Question 9

T/F, regarding asylum seekers;
You should document any injuries/lesions and the pts explanation for these and make an assessment on whether they are consistent with the history provided

Answer 9

True

Question 10

T/F

Photos of skin are important when seeing persons who allege torture and ill treatment

Answer 10

True

Question 11

T/F, regarding asylum seekers;

biopsy is of no use for determining the cause of established injuries

Answer 11

False

electric shock scars cause vesicular nuclei and calcium deposition

Question 12

What is an Autochthonous disease?

Answer 12

one normal for the place where you live

Question 13

What aetiological factors should be considered in asylum seekers presenting with skin problems?

Answer 13

Nutritional deficiencies
Dehydration
Sun burns and sequelae
Immediate environmental exposure of the boat, e.g., fuel spills, chemical spills, water immersion, contact burns from hot boat engine parts
Pre-existing dermatoses (from the country of origin or picked up en route)
Aggravation of pre-existing medical conditions (due to lack of medical supplies), e.g., diabetes mellitus, leading to gangrene of limbs secondary to injury or infection
Signs of child abuse
Signs of physical torture
Signs of sexual abuse
Signs of war or terrorism injuries, e.g. gunshot, blast injuries
Accidental injuries and sequelae
Non-accidental, self-inflicted injuries
Psychodermatological problems, e.g., neurotic excoriations, trichotillomania