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Y3M - Infectious Disease > Traveller's Infection > Flashcards

Traveller's Infection Flashcards

1
Q
A
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2
Q

Common symptoms in traveller’s infection.

A

GI - D+V

Jaundice

Lymphadenopathy and hepatosplenomegaly

Resp - cough and SOB

Rash

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3
Q

Most common tropical infections in the UK.

A

Malaria

Dengue fever

Typhoid

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4
Q

History of traveller’s infection.

A

Geographic region of travel within 12 last months

Dates of travel and duration of stay to identify incubation period

Careful documentation of time of onset and nature of various signs and symptoms.

Types of accommodations + rural vs urban stay.

Recreational activities and exposures. (Insects?, animals?, freshwater lakes and streams?, well/canal water?)

Type of food and water consumed

Sexual history

PMH

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5
Q

Common infections with incubation of 0-10 days.

A

Dengue

Rickettsia

Viral like EBV

GI bacteria and amoeba (gastroenteritis)

Chikungunya

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6
Q

Common infections with incubation of 10-21 days.

A

Malaria

Typhoid

Primary HIV infection

Brucellosis

Enteric fever

Leptospirosis

Melioidosis

Q-fever

VHF

Chagas’

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7
Q

Common infections with incubation of >21 days.

A

Malaria

Chronic bacterial infections like brucella, coxiella, endocarditis and bone and joint infections.

TB

Parasitic infection of helminths or protozoa like Schistosomiasis and visceral leishmaniasis

Viral hepatitis

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8
Q

Pre-travel immunisation and chemoprophylaxis.

A

Vaccination against Hep A, hep B, typhoid, tetanus, childhood infections like MMR, yellow fever and rabies.

If travel was to malarious areas give malaria chemoprophylaxis and advice about insect repellents and bed-net use.

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9
Q

What is a slow pulse rate for the degree of fever suggestive of?

A

Typhoid fever

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10
Q

What is a maculopapular rash suggestive of?

A

Dengue

Leptospirosis

Rickettsia

Mono by EBV or CMV

Rubella

Parvovirus B19

Prim HIV

Chikungunya

VHF

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11
Q

What are rose spots suggestive of?

A

Pink macules 2-3mm in diameter on chest or abdomen is suggestive of Typhoid fever

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12
Q

What are black necrotic ulcer with erythematous margins suggestive of?

A

Rickettsia due to tick exposure

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13
Q

What is a purpuric rash suggestive of?

A

Dengue

Meningococcal infection

Plague

DIC

VHF

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14
Q

What are petechiae, ecchymoses or haemorrhagic lesions suggestive of?

A

Dengue fever

Meningococcaemia

Viral haemorrhagic fever

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15
Q

What is conjunctivial suffusion suggestive of?

A

Leptospirosis

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16
Q

What is hepatosplenomegaly suggestive of?

A

Mono

Malaria

Visceral leishmaniasis

Typhoid

Brucellosis

Viral hepatitis

HIV

Enteric fever

Leptospirosis

17
Q

What are neurological symptoms suggestive of?

A

Cerebral malaria

Japanese encephalitis

West Nile Virus encephalitis

HIV

Syphilis

Lyme disease

Leptospirosis

Brucellosis

Tick-borne encephalitis

18
Q

Investigations in Traveller’s infection.

A

FBC

LFTs

U&Es

Malaria smears +/- antigen detection dipstick

Blood cultures x2

Urinalysis

Stool culture +/- stool for ova, cysts and parasites

CXR

HIV, Hep B, Hep C and Syphillis serology

19
Q

Infections common in Sub-Saharan Africa.

A

Malaria

HIV

Rickettsia

Schisto

Ameobiasis

Brucellosis

Dengue

Enteric fever

Meningococcus

VHF

20
Q

Infections common in South-East Asia.

A

Malaria

Chikungunya

Dengue

Enteric fever

Leptospirosis

Japanese encephalitis

21
Q

Infections common in South and Central Asia.

A

Malaria

Dengue

Enteric Fever

Chikungunya

VHF

Japanese encephalitis

22
Q

Infections common in Middle East, Mediterranean and North Africa.

A

Brucellosis

Q-fever

Zika

23
Q

Infections common in South America and the Carribean.

A

Malaria

Dengue

Enteric Fever

Brucellosis

Leptospirosis

Zika

Yellow fever

24
Q

Infections common in Eastern Europa and Scandinavia.

A

Lyme disease

Hanta virus

Tick-borne encephalitis

25
Q

Infections common in Australia.

A

Dengue

Q fever

Ricketssia

26
Q

Infections common in North America

A

Lyme Disease

Rickettsia

27
Q

What is jaundice suggestive of?

A

Viral hepatitis

Severe falciparum malaria

Enteric fever

Leptospirosis

Relapsing fever

Typhus

VHF

Y3M - Infectious Disease (21 decks)

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