Session 8 - Travel Related Infections & COVID-19 Flashcards
What are the 3 considerations when making a differential diagnosis for travel infections?
Where they travelled to
Incubation period
Clinical presentation
What is the vector of malaria?
Female anopheles mosquito
What is the incubation period of malaria?
Minimum 6 days
What are 8 symptoms of malaria?
Fever Chills Splenomegaly Headache Fatigue Muscle and back pain Dry cough Nausea and vomiting
What is the more severe form of malaria?
Falciparum
What are 8 possible symptoms of severe falciparum malaria?
Tachycardia Pulmonary oedema Diarrhea Acute kidney injury Confusion Clotting problems Metabolic acidosis Secondary infection
What are 4 investigations to do for malaria?
Thick and thin blood smears
Blood tests: FBC, U&E, LFT
CXR
Head CT
What are 2 forms of management for malaria?
Removal of vector
Drugs
What are 3 drugs to use for malaria?
Artesunate
Quinine
Doxycycline
What is the mechanism of infection for enteric fever?
Fascial oral from contaminated food or water
What are 2 microorganisms that cause enteric fever?
Salmonella typhi
Salmonella parathyphi
What are 4 virulence factors of Salmonella typhi?
Low infectious dose
Survives gastric acid
Fimbriae adhere to epithelium
Reside within macrophage
What are patients susceptible to enteric fever?
Children
What is the incubation period of enteric fever?
7-14 days
What are 5 symptoms and signs of enteric fever?
Fever, headache, abdominal discomfort, dry cough, bradycardia