Travel Related Infection Flashcards

1
Q

Name 6 Water Related infections

A
Schistosomiasis
Leptospirosis
Liver Flukes
Strongyloidiasis
Hook Worms
Guinea Worms
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2
Q

Which athropod is involved in Malaria , Filariasis and Dengue Fever

A

Mosquitos

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3
Q

which arthropod is involved in rickettsial infections

A

ticks

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4
Q

which arthropod is involved in lesihmaniasis

A

sand flies

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5
Q

which arthropod is involved in trypanosomiasis

A

tsetse fly

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6
Q

which arthropod is involved in onchocerciasis

A

black fly

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7
Q

Which malaria species can cause severe malaria

A

Plasmodium Falciparum

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8
Q

Malaria symptoms 9)

A
Fever
Rigors
Aching Bones
Abdo Pain
Headache
Dysuria
Frequency
Sore Throat
Cough
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9
Q

Malaria Signs (3)

A

Splenomegaly
Hepatomegaly
Mild Jaundice

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10
Q

Complications of Malaria (6)

A
  • Cerebral Malaria (Encephalopathy)
  • Blackwater Fever
  • Pulmonary Oedema
  • Jaundice
  • Severe Anaemia
  • Algid Malaria
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11
Q

Cerebral Malaria can cause what symptoms/signs (2)

A

Convulsions

Hypoxia

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12
Q

Blackwater Fever in Malaria can cause (5)

A
  • Severe Intravascular Haemolysis
  • High Parasitemia
  • Profound Anaemia
  • Haemoglobinuria
  • Acute Renal Failure
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13
Q

What is Algid Malaria in Malaria

A

Gram Neg septicaemia

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14
Q

Diagnosis of Malaria (3)

A
  • Thick and Thin Blood Films: Giemsa, Field Stain
  • QBC
  • Rapid Antigen Test: Optimal, Parasight F
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15
Q

If the parasite count is >2% in Malaria or Haemoglobin <8mg or Renal Impairement <7.3 what does this mean

A

It’s complicated

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16
Q

Malaria Drugs (2)

A
  • Quinine

- Artemisinins

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17
Q

Treatment for Uncomplicated P Falciparum Malaria (5)

A
  1. Ritamet for 3 Days
  2. Euratesim for 3 Days
  3. Malarone for 3 Days
  4. Quinine for 7 Days
    Plus Oral Doxycycline
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18
Q

Treatment for Complicated or Severe P Falciparum Malaria (3)

A
  1. IV Artesunate
  2. IV Quine
    Plus Oral Doxycycline or Clindamycin
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19
Q

Treatment for P Virax, P Ovale, P Malariae, P Knowlesi Malaria (2)

A

Choloroquine 3 Days

Riamet for 3 Days

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20
Q

Typhoid Enteric Fever are caused by what bacterias (2)

A

Salmonella Typhi

Salmonella Paratyphi

21
Q

How to Diagnose Typhoid Fever (4)

A

-Culture Blood, Urine, Stool, Bone Marrow

22
Q

Typhoid Fever Treatment (2)

A

Oral Azithromycin

IV Ceftriazxone

23
Q

Dengue is commonest what type of infection

A

Human Arbovirus Infection

24
Q

How is Dengue Transmitted

A

Aedes Aegypti

25
Q

Presentation of Dengue (10)

A
Sudden Fever
Severe Headache
Retro-Orbital Pain
Myalgia
Arthralgia
Macular/Maculopapular Rash
Petechiae
Purpura
Positive Toruqniuet Test
26
Q

Testing of dengue (6)

A
Thrombocytopenia
Leucopenia
Elevated Transaminases
Positive Tourniquet Test
PCR
Serology
27
Q

Complications of Dengue

A

Dengue Haemorrhagic Fever

Dengue Shock Syndrome

28
Q

Schistosomiasis caused by

A

Freshwater Snails

29
Q

Bacteria in Schistosomiasis (3)

A

S Haematobium
S Mansoni
S Japonicum

30
Q

What do eggs release in schistosomiasis

A

Miracida

31
Q

Features of Schistosomiasis (9)

A
Swimmers Itch
Cough
Abdo Discomfort
Splenomegaly
Eosinophilia
Fever
Urticaria
Lymphadenopathy
Diarrhoea
32
Q

Schistosomiasis is called what after 15-20 days

A

Katayama Fever

33
Q

How is Schistosomiasis diagnosed

A

Antibody Tests
Ova in Stools and urine
Rectal Snip

34
Q

Treatment of Schistosomiasis (2)

A

Praziquantel

Prednisolone if severe

35
Q

Rickettsiosis caused by which bacteria (2)

A

R Conorri

R Africae

36
Q

Commonest type of Rickettsiosis

A

Caused by Tick Typhus

37
Q

Features of Rickettsiosis (5)

A
Abrupt onset swing fever
headache
confusion
rash
bleed
38
Q

Management of Rickettsiosis (1)

A

Tetracycline

39
Q

Name four Viral Haemorrhagic Fevers (4)

A

Ebola
Congo Crimea Haemorrhagic Fever
Lassa Fever
Marburg disease

40
Q

Maximum Incubation period for Viral Haemorrhagic period

A

3 Weeks

41
Q

Zika is caused by which bacteria

A

Flavirus

42
Q

Zika is transmitted by

A

daytime biting aedes mosquito

43
Q

Zika Symptoms (6)

A
Headache
Rash
Fever
Malaise
Conjunctivitis
Joint Pain
44
Q

Zika can cause which condition

A

Guilian Barre

45
Q

Most common cause of fever in traveller

A

Malaria

46
Q

Rash is present in which travellers diseases (3)

A

Typhoid
Typhus
Dengue

47
Q

Jaundice is present in which travellers disease (3)

A

Hepatitis
Malaria
Yellow Fever

48
Q

The spleen is affected in which travellers diseases (3)

A

Visceral Lesihmaniasis
Typhoid
Malaria