the returning traveller

Question 1

what are the clinical features of malaria?

Answer 1

fever, headache, malaise, myalgia, diarrhoea
anaemia
jaundice
renal impairment

Question 2

what can severe malaria lead to?

Answer 2

severe anaemia
cerebral malaria 
renal failure 
shock 
DIC 
acidosis

Question 3

what genus of parasite causes malaria and what is the most life threatening?

Answer 3

plasmodium

plasmodium falciparum

Question 4

how is malaria diagnosed?

Answer 4

antigen testing

Giemsa stained thick and thin blood smears

PCR

Question 5

how is malaria treated?

Answer 5

Riamet

Quinine and doxycycline

Question 6

what causes typhoid?

Answer 6

S. typhi and S. paratyphi

faeco oral spread

Question 7

what are the clinicla features of typhoid?

Answer 7

fever, myalgia, headache, diarrhoea

cough

abdo pain

rose spots

rectal bleeding

Question 8

how is typhoid diagnosed?

Answer 8

blood and stool culture

serology

Question 9

what are the features of dengue fever?

Answer 9

“breakbone fever””

• headache
• fever
• retro orbital pain
• myalgia
• rash
• sore throat
• Nausea and diarrhoea

Question 10

what could blood tests show in dengue fever?

Answer 10

leucopenia and thrombocytopenia

transaminits