fever in returned traveller Flashcards
1
Q
approach to fever in returned traveller (5)
A
- pre-travel prep
- itinerary
- epi and exposure Hx
- history and physical
- lab tests
2
Q
3 aspects of travel preps to ask about
A
- immunizations
- malaria prophylaxis
- other meds
3
Q
1 immunization that’s not great
A
typhoid
4
Q
what is important about incubation period
A
short = dengue long = malaria
5
Q
***if over 7 days, what can be ruled out
A
dengue
6
Q
what to pay attention to on physical
A
derm rashes
7
Q
*** 4 common infections seen
A
- malaria
- dengue
- typhoid
- ricketssiosis
8
Q
where are malaria and rickessiosis seen
A
africa
9
Q
where is typhoid seen
A
india
10
Q
*** WHAT IS FEVER FROM TROPICS UNTIL OTHER WISE
A
malaria
11
Q
2 most common malarias and which is dangerous
A
- falciparum - anger
2. vivax
12
Q
which is most likely to present ealier
A
falciparum
13
Q
why assume malaria
A
kills fast - can’t distiguish clinically
14
Q
2 tests for malaria
A
- bloods
2. dip stick
15
Q
2 blood tests and adv/dis
A
thick - sensitive
thin - species ID
