Travel and GI bugs

Question 1

Aedes Egypte transmits what

Answer 1

Dengue, chickenguna, Zika, YF

Question 2

when does cedes Egypt bite>

Answer 2

daytime!!

Question 3

Dengue clinical

Answer 3

2-14 day incubation, 4 serotypes, classical, warning, or severe

Question 4

dengue classical

Answer 4

breakbone fever, rtetroorbital headache, tourniquet test

Question 5

dengue with warning

Answer 5

hemorrhagic, often second infection, fluid/mucosal bleeding. increased hematocrit, decreased platelet

Question 6

dengue severe

Answer 6

plasma leakage, respiratory distress, severe bleeding AST/ALT>1000. altered consciousness, multi organ failure.

Question 7

Dengue diag/treat

Answer 7

Epi, IgG/M, PCR first 5 days. Support and avoid blood thinner

Question 8

chickengunya clinical

Answer 8

2-12 day incubation, most people SYMPTOMs, Joint pain! lasts days to months

Question 9

chicken epi

Answer 9

africa, asia, now SA/carribean

Question 10

chicken diag/treat

Answer 10

IgM/IgG/ support and arthritis

Question 11

zika clinical

Answer 11

3-12 day incubation, 2-7 day illness. asymptomatic or symptomatic fever, rash, myalgia

Question 12

zika diag

Answer 12

IgG/IgM- only if symptoms or pregnant

Question 13

yellow fever clinical

Answer 13

3-6 incubation, 3-4 days asymptomatic or flu, 25%> hemmoragic. fever, shock, organ failure, jaundice

Question 14

yellow fever diag

Answer 14

clinical, CDC test

Question 15

yellow fever vaccine

Answer 15

side effects above 60. neurotropic/viscerotropic

Question 16

picorna examples

Answer 16

polio, coxsackie,

Question 17

polio clinical

Answer 17

motor/autonomic nerves, often asymptomatic. Abortive, non paralytic (aseptic meningitis) or paralytic (.1%)

Question 18

polio epi

Answer 18

1 serotype left, afganistant, Pakistan, nigeria

Question 19

polio complications

Answer 19

post polio syndrome. 20/30 years later, sudden onset weakness.

Question 20

Coxsackie clinical

Answer 20

Rash, aseptic, meningitis, ocular.

Question 21

Coxsackie sub conditions

Answer 21

HFM, herpangina, pleurodunia, myopericarditis

Question 22

coxsackie spread

Answer 22

sheds pre and post symptoms

Question 23

rotavirus major class

Answer 23

reovirus

Question 24

rotavirus clinical

Answer 24

main GI bug in CHILDREN. adults asymptomatic. Low ID, 48 hour incubation, winter, fever nom diarrhea

Question 25

rotavirus diag

Answer 25

stool ag, PCR

Question 26

norovirus major class

Answer 26

caliciviridae

Question 27

norovirus clinical

Answer 27

main GI in ADULT, low 12, 24-48 hour incubation, bom/diarrhea, 48-72 hours. H-H, air, fomites