Travel Related Illness

Question 1

Paroxysmal Fever every 48-72 hours
Intraerythrocytic parasite
Thrombocytopenia

Answer 1

Malaria

Question 2

Acute onset of fever with chills, biphasic fever pattern ( saddleback)
Frontal Headache
Lumbosacral Pain
Extensor Surface Petechiae

Answer 2

Dengue Fever

Question 3

Fever ( abrupt to 104) with rigors recurdescent (goes down briefly with anti pyretic)
RASH
small joint polyarthritis

Answer 3

Chikungunya Fevere

Question 4

Nonspecific sx- Fever, rash, joint pain, conjunctivitis ( asx in 80%)

Answer 4

Zika Virus

Question 5

Prolonged Fever, Pulse / Temperature dissociation, diarrhea or constipation, faint salmon colored macules on abdomen/ trunk ( rose spots)

Answer 5

Typhoid Fever

Question 6

Flu like syndrome with diarrhea, dry cough with progressive dyspnea, lymphopenia, thrombocytopenia, elevated LDH

Answer 6

Novel Coronavirus ( SARs COV/ MERs COV)

Question 7

Fever, Malaise, myalgia vomitting, diarrhea, coag disorders and bleeding from everywhere

Answer 7

Hemorrhagic Fever ( Ebola, Marburg and Lassa)

Question 8

Parasthesia and pain at wound site, fever, nausea, vomiting, hydrophobia, delirium, agitation

Answer 8

Rabies

Question 9

Which Travelers Diarrhea caused by bacteria has blood in stool?

Answer 9

E coli, Campylobacter, Salmonella, Vibrio, Shigella

differs from protozoa bc of Abrupt onset

Question 10

Travelers diarrhea which presents as gradual onset, progressive diarrhea, foul smelling and greasy stools. mucous or visible blood in stool

Answer 10

Protozoa: Cryptosporidium, Microsporidia, Giardia, Entamoeba Histolytica, Isopora species

Question 11

How long should patients exposed to Zika wait before getting pregnant

Answer 11

3months for male traveler, 2 months for female

Question 12

How do you screen a traveler for Zika

Answer 12

reverse transcriptase pcr on serum/ urine for first 2 weeks

after two weeks check serum IgM antibody

Question 13

What medication do you give a patient who has malaria from a chloroquine resistant region

Answer 13

Mefloquine, Atovaquone proguanil or doxycycline

Question 14

Which regions are okay to prescribe chloroquine for Malaria

Answer 14

Central America, DR, Haiti

Question 15

What is a key physical sign of leptospirosis

Answer 15

conjunctival suffision
will also see kidney failure, uveitis, respiratory failure, myocarditis and rhabdo

treat with doxy or pcn