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INFECTIOUS DISEASES YR 3 > Fever In Returned Traveller > Flashcards

Fever In Returned Traveller Flashcards

1
Q

How do most travel related illness manifest?

A

Febrile illness
GI symptoms
Jaundice
Lymphadenopathy or hepatosplenomegaly
Resp symptoms
Rash

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2
Q

What are some common travel related infections brought back to England?

A

Malaria
Dengue fever
Typhoid (enteric) fever

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3
Q

What should you establish in the history of a returning traveller?

A

-geographic region of travel (last 12 months)
-Dates of travel and duration
-Time of onset and nature of signs and symptoms
-Types of accommodation
-Recreation activities and exposures
-Food and water consumed
-Sexual history
-PMHx and any immunosuppression

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4
Q

What infections have an incubation period of 0-10 days?

A

Dengue
Rickettsia
Viral
Gastrointestinal

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5
Q

What infections have an incubation period of 10-21 days?

A

Malaria
Typhoid
Primary HIV infection

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6
Q

What infections have an incubation period greater than 21 days?

A

Malaria
Chronic bacterial infections
TB
Parasitic infections

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7
Q

What infections are there vaccines available for?

A

Hep A
Hep B
Typhoid
Tetanus
MMR (measles, mumps and rubella)
Yellow fever
Rabies

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8
Q

What should you ask if the patient is returning from a malarious area?

A

-If chemoprophylaxis was taken
-If bed nets and insect sprays were used

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9
Q

What signs might be found on clinical infection in typhoid fever?

A

Slow pulse rate for degree of fever
Rose spots on chest or abdomen (pink macules 2-3mm)
Splenomegaly

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10
Q

What infections may cause a maculopapular rash?

A

Dengue
Leptospirosis
Rickettsia
EBV or CMV
Rubella
Primary HIV

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11
Q

What may cause petechiae (small red/purple spots), ecchymoses (bruising) or haemorrhagic lesions?

A

Dengue
Meningococcemia
Viral haemorrhagic fever

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12
Q

What sign could you see on examination of someone with suspected rickettsia?

A

Black necrotic ulcer with erythematous margins

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13
Q

What infections can cause splenomegaly?

A

Mononucleosis
Malaria
Visceral leishmaniasis
Typhoid fever
Brucellosis

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14
Q

What may be seen on examination of the eyes?

A

Conjunctival suffusion - sign of leptospirosis

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15
Q

What are the signs of meningo-encephalitis?

A

Fever
Altered mental state
Confusion
Reduced GCS

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16
Q

What infections may lead to meningitis-encephalitis?

A

Cerebral malaria
Japanese encephalitis
West Nile Virus encephalitis

17
Q

What investigations are suggested for a fever in a returning traveller?

A

-FBC, LFTs U&E
-Malaria blood films and antigen test
-Blood cultures
-Urinalysis and culture
-Stool culture and for ovarian cancer, cysts and parasites
-CXR
-HIV, hep B, hep C and syphillis serology

INFECTIOUS DISEASES YR 3 (4 decks)

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