Travellers Flashcards

1
Q

What causes traveler’s diarrhea?

A

A: Traveler’s diarrhea is a digestive tract disorder, usually caused by bacterial infection, especially Escherichia coli (E. coli). Other possible causes include Campylobacter, Salmonella, Shigella, Rotavirus, and Giardia. Traveler’s diarrhea is common in developing countries.

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2
Q

What are the symptoms and signs of traveler’s diarrhea?

A

Symptoms and signs of traveler’s diarrhea include malaise, vomiting, abdominal cramps, diarrhea, and fever.

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3
Q

Q: How is traveler’s diarrhea treated?

A

A: Treatment for traveler’s diarrhea involves staying hydrated with fluids and electrolytes and getting rest. If symptoms are severe, antibiotics may be necessary. Dehydration is a major concern with this illness.

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4
Q

Q: How can traveler’s diarrhea be prevented?

A

A: Prevention of traveler’s diarrhea involves careful attention to food and drink choices. Eat food that is well cooked and served hot, avoid salads, grapes, and berries, and only consume fruits and vegetables that can be peeled. Unpasteurized milk and dairy products, food from street vendors, unsterilized water, locally made ice cubes, and mixed juices made with tap water should all be avoided. Bottled water is the safest option. Be aware that alcohol in a drink does not make contaminated water safe. Swimming in potentially contaminated water should be avoided, and keep your mouth closed while showering. Use bottled water to brush your teeth. The Dukoral vaccine can help prevent E. coli and Cholera.

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5
Q

Q: What is the cause of hepatitis?

A

A: Hepatitis is an inflammation of the liver most often caused by a virus, including Hepatitis A virus (HAV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), and also Hepatitis D, E, and G.

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6
Q

Q: What are the symptoms and signs of hepatitis?

A

A: The symptoms and signs of hepatitis include fever, fatigue, joint and abdominal pain, nausea, vomiting, dark urine, and loss of appetite.

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7
Q

How is hepatitis treated and prevented

A

A: The sources do not provide details about hepatitis treatment. However, vaccines are available for HAV and HBV for prevention.

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8
Q

**Q: What causes DVT and PE? ( deep vein thrombosis and pulmonary embolism)

A

A: DVT occurs when a blood clot (thrombus) forms in one or more of the deep veins. Anything that prevents blood from circulating normally can cause this. PE is a severe and life-threatening complication of DVT.

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9
Q

Q: What are the symptoms and signs of DVT and PE?

A

A: DVT symptoms and signs include swelling, pain, red or bluish skin, and a feeling of warmth in the affected leg. It can also occur without noticeable symptoms. PE symptoms and signs include sudden shortness of breath, chest pain or discomfort, lightheadedness, dizziness, fainting, rapid pulse, coughing up blood, low blood pressure, sweating, fever, and leg pain/swelling.

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10
Q

Q: How are DVT and PE treated?

A

A: DVT treatment involves blood thinners, clot busters, filters, and compression stockings. Recovery typically takes weeks to months. Treatment for PE includes blood thinners for at least 3 months, clot busters, filters, and sometimes surgery. Hospitalization for a few days is common, with a recovery time of weeks to months.

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11
Q

Q: How can DVT and PE be prevented?**

A

A: DVT and PE can be prevented by avoiding long periods of staying still, staying hydrated, wearing loose-fitting clothing while traveling, discussing clotting risks with your doctor, and staying active and exercising regularly.

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12
Q

Q: What causes acute mountain sickness?

A

A: Acute mountain sickness is caused by the lower barometric pressure at altitude, which reduces oxygen availability and necessitates physiological adjustments. These adjustments lead to a decrease in VO2max and exercise performance with acute exposure to altitude.

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13
Q

**Q: What are the different types of acute mountain sickness and symptoms

A

A: There are three main types of acute mountain sickness:
* Acute Mountain Sickness (AMS): This occurs above 2500m within the first 24 hours and causes headache, dizziness, fatigue, and nausea. It is generally self-limiting.
* High Altitude Cerebral Edema (HACE): This more severe form occurs above 3000m two days after arrival and presents with headache, confusion, and loss of coordination. HACE is life-threatening.
* High Altitude Pulmonary Edema (HAPE): This type also occurs above 3000m two days after arrival, with symptoms of fatigue, coughing, cyanosis, and shortness of breath. HAPE is also life-threatening.

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14
Q

Q: How are HACE and HAPE treated?

A

A: Treatment for both HACE and HAPE involves immediate descent, oxygen, and medications.

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15
Q

Q: How can acute mountain sickness be prevented?

A

A: Prevention of acute mountain sickness involves avoiding rapid ascent, acclimatizing properly, taking rest days, and monitoring symptoms. The IOC guidelines recommend arriving two weeks before competition at moderate altitude and having 1-2 rest days before resuming regular training.

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16
Q

Q: What causes jet lag and travel fatigue?

A

A: Jet lag is caused by physiological changes as the body adjusts to a new time zone. Travel fatigue results from the physiological, psychological, and environmental effects of accumulated travel over a season.

17
Q

Q: What are the symptoms of jet lag and travel fatigue?

A

A: Jet lag symptoms are episodic and include poor sleep, daytime fatigue, trouble concentrating, and poor performance. Travel fatigue symptoms are cumulative and chronic, including persistent fatigue, recurrent illness, mood changes, and loss of motivation. Several time-zone-dependent factors can influence these symptoms, such as the number of time zones traveled and the direction of travel. West-to-east travel typically results in the most jet lag, while east-to-west travel causes 30-50% less jet lag. North-to-south or south-to-north travel generally doesn’t cause desynchronization.

18
Q

Q: How are jet lag and travel fatigue treated?

A

A: To treat jet lag, adjust your watch to the destination time, sleep and eat on the destination schedule, create a comfortable environment, stay hydrated, minimize electronic device use, and consider short-acting sedatives or melatonin. For travel fatigue, reduce training volume, intensity, and frequency for the first few days. Fatigue countermeasures like light exposure/avoidance, melatonin/sedatives, napping, and caffeine can also be helpful.

19
Q

Q: How can jet lag and travel fatigue be prevented?

A

A: Preventing jet lag involves getting enough sleep, reducing training volume and intensity before travel, adjusting training to the destination time, and choosing evening departures for long eastbound flights. For travel fatigue, it’s essential to move to the ‘new’ time and implement preventative measures. These include pre-flight fitness assessments, nutrition and hydration planning, mitigating jet lag, and preventing injuries and illnesses. During the flight, having a medical travel bag, compression stockings, earplugs, and eye masks can be beneficial. Post-flight, establishing a medical room, specifying treatment hours, having contact information available, and utilizing local EAP resources are recommended.