Session 8 - Travel Related Infections & COVID-19 Flashcards

1
Q

What are the 3 considerations when making a differential diagnosis for travel infections?

A

Where they travelled to
Incubation period
Clinical presentation

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2
Q

What is the vector of malaria?

A

Female anopheles mosquito

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3
Q

What is the incubation period of malaria?

A

Minimum 6 days

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4
Q

What are 8 symptoms of malaria?

A
Fever
Chills
Splenomegaly
Headache
Fatigue
Muscle and back pain 
Dry cough 
Nausea and vomiting
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5
Q

What is the more severe form of malaria?

A

Falciparum

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6
Q

What are 8 possible symptoms of severe falciparum malaria?

A
Tachycardia
Pulmonary oedema
Diarrhea
Acute kidney injury
Confusion
Clotting problems
Metabolic acidosis
Secondary infection
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7
Q

What are 4 investigations to do for malaria?

A

Thick and thin blood smears
Blood tests: FBC, U&E, LFT
CXR
Head CT

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8
Q

What are 2 forms of management for malaria?

A

Removal of vector

Drugs

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9
Q

What are 3 drugs to use for malaria?

A

Artesunate
Quinine
Doxycycline

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10
Q

What is the mechanism of infection for enteric fever?

A

Fascial oral from contaminated food or water

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11
Q

What are 2 microorganisms that cause enteric fever?

A

Salmonella typhi

Salmonella parathyphi

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12
Q

What are 4 virulence factors of Salmonella typhi?

A

Low infectious dose
Survives gastric acid
Fimbriae adhere to epithelium
Reside within macrophage

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13
Q

What are patients susceptible to enteric fever?

A

Children

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14
Q

What is the incubation period of enteric fever?

A

7-14 days

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15
Q

What are 5 symptoms and signs of enteric fever?

A

Fever, headache, abdominal discomfort, dry cough, bradycardia

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16
Q

What is the diagnostic investigation for enteric fever?

A

Blood culture

17
Q

What are the 3 treatment options for enteric fever?

A

IV Ceftriaxone
Azithromycin
Ciprofloxacin

18
Q

What is 3 protection methods for enteric fever?

A

Vaccination

Good water and food hygiene

19
Q

Wha are 2 complications of enteric fever?

A

Intestinal haemorrhage and perforation

Seeding

20
Q

What is the most common arbovirus?

A

Dengue

21
Q

What is the structure of coronavirus?

A

Large, enveloped, pleomorphic particles with distinctive arrangement of spikes projecting from surfaces

22
Q

What is the genetic material of coronavirus?

A

single stranded RNA

23
Q

What is the major surface antigen of coronavirus?

A

Spike glycoproteins - required for entry into cells

24
Q

How is coronavirus transmitted?

A

Respiratory route

25
Q

What are 3 potential modes of transmission of coronavirus?

A

Small droplets - suspended in air for significant amt of time
Large droplets - fall rapidly to ground, transmitted over short distances
Larger droplets - settling onto surfaces touched and transported by hands onto mucosal membranes

26
Q

What are 3 barriers to entry via the respiratory route?

A

Respiratory epithelial cells covered by thick mucus
Ciliated respiratory epithelial cells that sweep mucus up from lower to upper tract
Immunologic defenses

27
Q

How does coronavirus enter cells?

A

Spike glycoproteins on surface binds to ACE2 then gets endocytosed

28
Q

What is used to replicate coronavirus?

A

RNA dependent RNA polymerase

29
Q

What are 6 symptoms of coronavirus?

A
Fever
Headache
Muscle pain
Extreme fatigue
Dry cough
Loss of taste or smell
30
Q

What are 3 ways to diagnose COVID?

A

Molecular tests - nasopharyngeal swab - extract RNA convert to DNA, PCR, then detect viral RNA
SalivaDirect Test - RNA converted to DNA and amplify with PCR with primers then detect viral RNA
Lateral flow test - saliva applied to pad with antibodies, antigen from virus bond with antibodies, flow along pad, bond with more antibodies at test line

31
Q

What are 5 treatments of COVID-19?

A
Dexamethasome
Remdesivir
NIV
LMWH
Vaccine
32
Q

Why are there many variants of coronavirus?

A

10h
High error rate of viral RNA polymerases
Lack of proofreading ability leads to mutations and genetic variation