ID history and examination

Question 1

Epidemiological factors to consider.

a) Main one generally (especially diarrhoea, fever, respiratory infection, etc.)
b) Other social
c) PMHx

Answer 1

a) Foreign travel
b) Occupation, close contacts, sports, pets, sexual history, IVDU, alcoholics, food
c) Operations (splenectomy, dentistry, transplants), HIV/other STI, TB, immunosuppresion

Question 2

Occupational risk factors.

a) Sewage workers
b) Farmers
c) Abbatoirs
d) Sex workers
e) Health workers

Answer 2

a) Gastroenteritis, hepatitis, leptospirosis
b) Orf, coxsackie, coxiella
c) Anthrax
d) GU disease, HIV, Hep B
e) Hep B, RTIs

Question 3

Sports risk factors.

a) Canoeists
b) Cavers
c) Trekkers
d) Freshwater swimmers
e) Swimmers

Answer 3

a) Leptospirosis, gastroenteritis
b) Histoplasmosis
c) Lyme
d) Schistosomiasis (in endemic areas)
e) Crytosporidiosis

Question 4

Pet risk factors.

a) Birds
b) Terrapins
c) Rats
d) Cats
e) Dogs
f) Tropical fish

Answer 4

a) Chlamydia psittacci
b) Salmonellae
c) Rat bite fever
d) Toxoplasma, toxocara, cat scratch fever
e) Campylobacter, capnocytophaga, toxoplasma
f) Mycobacterium marinum

Question 5

Risky behaviours.

a) IVDU
b) Sex
c) Alcoholism

Answer 5

a) HIV, Hep B/C, soft tissue infection, endocarditis
b) GU disease, Hep B, HIV, HSV, HPV cancers
c) TB, HIV

Question 6

Food poisoning.

a) Restaurant source
b) Eggs
c) Shellfish
d) Dirty water

Answer 6

a) Salmonella, campylobacter
b) Salmonella
c) Hepatitis, yersinia
d) Hepatitis, cholera, dysentery