ID

Question 1

Top diagnoses in return travelers with fever (3)

Answer 1

malaria
traveler’s diarrhea
URTI

Question 2

Workup of return traveler with fever

Answer 2

CBC + diff
Lytes/BUN/creat
\+/-Malaria thick and thin 
BC
UA
\+/- stool cx or O&P
\+/- Dengue serology (incubation two weeks)
\+/- CXR

Question 3

Factors for malaria tx (3 questions to ask yourself)

Answer 3

is it falciparum
is there end-organ dysfunction
is there resistance in the area it was contracted

Question 4

Mumps

• incubation period
• treatment (3)

Answer 4

incubation period 16-18 days
viral meningitis (1-10%)
oophoritis (5%)
orchitis (20-30%)

Question 5

Syphilis

• different stages
• tx

*card not finished

Answer 5

PrimaryPainless chancre
Secondary: palms & soles

Tx: Penicillin

Question 6

At risk for STI

• card not finished

Answer 6

Sex with someone infected
Serial monogamy
<25yrs

Question 7

Ophthalmia neonatorum

• etiology (<24hrs, 1wk, 3wks)
• complications (3)
• dx

Answer 7

<24hrs (chemical), 1 wk (gonorrhea), 3 wks (chlamydia)

Blind
corneal ulcer/scarring
permanent visual impairment

dx: need tissue culture (conjunctival cells)