Travel Flashcards
What should you consider with a travel history in diarrhea cases?
Think parasitic infections like Giardia or Entamoeba.
What to consider in an immunosuppressed patient with diarrhea?
Think Cryptosporidium or CMV colitis.
What does bloody diarrhea with systemic signs indicate?
Could indicate IBD or Entamoeba histolytica.
What does steatorrhea with weight loss suggest?
Indicates malabsorption (e.g., celiac disease, pancreatitis).
What does no systemic symptoms triggered by stress suggest?
Suggests IBS.
What are the symptoms of Typhoid Fever?
Persistent fever, slow pulse despite high fever (pulse-temperature dissociation), pinkish rose spots on the trunk or abdomen, and hepatosplenomegaly.
What are the symptoms of Dengue Fever?
Severe retro-orbital headache, high fever, bone pain (“breakbone fever”), maculopapular rash, and a positive tourniquet test.
What are the symptoms of Malaria?
Fever spikes with systemic symptoms +/- jaundice.
What is Giardiasis?
A gastrointestinal infection caused by the protozoan Giardia lamblia.
What is a common history associated with Giardiasis?
History of camping and drinking lake water.
What are the symptoms of Giardiasis?
Sudden onset of explosive, foul-smelling, and non-bloody diarrhea.
What will labs show in a case of Giardiasis?
Labs will show flagellated protozoan caused by Giardia lamblia.
What is the management for Giardiasis?
Management includes supportive care and antibiotics for symptomatic individuals.
Which antibiotic is used for individuals over 3 years old with Giardiasis?
Tinidazole.
Which antibiotic is used for individuals between 1 and 3 years old with Giardiasis?
Nitazoxanide.
Which antibiotics are used for individuals under 12 months old with Giardiasis?
Metronidazole or nitazoxanide.
