Tropical medicine Flashcards
EMQ- Tropical diseases- All returned travellers from subtropics
1) Typhoid fever
2) Cholera
3) Yellow fever
4) Dengue fever
5) Melioidosis
6) Plague
7) Rabies
8) Hansens disease(Leprosy)
9) African trypanosomiasis (sleeping sickness)
10) Leishmaniasis
11) Schiztosomiasis (Bilharzia)
12) Amoebic liver abscess
13) Pinworm (threadworm)
14) Human threadworm(strongyloides)
15) Cutaneous larva migrans
1) Low grade abdominal pain with recurrent diarrhoea and blood eosinophilia
2) Pruritic, erythematous serpingious eruption on the handsm legs after returning from the tropics
3) Pruritus ani with diarrhoea in a child
4) High swinging fevers, profound malaise, tender hepatomegaly, effusion right chest
5) Returns from Egypt, swimming in stagnant water, itch, generalised allergic response, fever, malaise and myalgia with hepatosplenomegaly and lymphadenopathy
6) Fever, wasting, hepatosplenomegaly, hyperpigmentation of the skin and lymphadenopathy-Middle eastern country return
7) Return from African safari game park, fever, headache, skin chancre, lypmhadenopathy, hepatosplenomegaly. Hypersomnolence.
8) Anaesthetic, hypopigmented reddish maculopapules with thickened peripheral nerves
9) Painful/itchy bite of a dog/monkey with agitation and hydrophobia
10) Young vietnamese woman with a red swelling to left groin with axillary lymphadenitis and haemoptysis
11) Return from rice paddies of SEAsia/Northern Australia-Fever, pneumonia and myalgia
12) Fever with severe aching and rash
13) Fever with bradycardia, jaundice and bleeding
14) Fever with vomiting and rice water diarrhoea
15) Stepladder fever with abdominal pain and relative bradycardia
1) Strongyloides(Human threadworm)-Faecal larvae/duodenal biopsy-Ivermectin or albendazole
2) Cutaneous larva migrans-Clinical diagnosis- Ivermectin or albendazole
3) Pinworm-adhesive tape on perianal skin(lab)- pyrantel,albendazole or mebendazole and hand hygiene
4) Amoebic liver abscess- CTgudied aspiration- Metronidazole
5) Schistosomiasis- serology-praziquantel
6) 6) Leishmaniasis- punch biopsy-high dose ketoconazole
7) African trypanosomiasis-Trypomastigotes on peripheral blood- Suramin IV
8) Leprosy- biopsy- Rifampicin, clofizamine and dapsone
9) Rabies- viral testing-postexposure prophylaxis if from endemic area(rabies vaccine and rabies immunoglobulin within 48 hrs)
10) PLague- serology/culture of buboes-Streptomycin and doxycycline
11) Melioidosis-swab/blood culture- Ceftazidime or meropenem
12) Dengue fever-Serology-Symptomatic treatment
13) Yellow fever- ELISA testing- No cure
14) Cholera- stool culture-IV hydration and doxycycline
15) Typhoid-blood and stool culture-ciprofloxacin
