Malaria

Question 1

What are the 5 plasmodium species?

Answer 1

P. Vivax
P. Falciparum 
P.ovale
P. Malariae 
P. Knowlesi

Question 2

Life cycle of malaria?

Answer 2

Osmosis

Question 3

IP and fever paroxysms?

Answer 3

P.vivax,p.ovale- 
  IP- 10-12 days 
  48 hrs tertian fever
P.malariae 
  IP- 18-40 days
  72 hrs quartran fever 
P.falciparum 
  IP- 7-10 days 
  Variable malignant tertian fever

Question 4

Stages of febrile?

Answer 4

Cold stage- 15-60 min intense cold and uncontrollable shivering
Hot stage- 2-6 hrs intensely high fever, severe headache, N, V
Sweating stage- drenched in sweat, temp drops rapidly

Question 5

Signs and symptoms?

Answer 5

Signs-4

Symptoms- 11

Question 6

Complications?

Answer 6

10

Question 7

Ix?

Answer 7

Serial thin and thick film (main) 
Rapid stick test 
Hemolytic anemia,thrombocytopenia 
DIC,hypoglycemia, lactic acidosis 
BU N SE (RF) 
Urinanalysis -haemoglobinuria,proteinuria, cells

Question 8

Mx?

Answer 8

1.mono infection by v.vivax
Chloroquine 3 days 
Primaquine for 14 days 
2.mono infection by p.falciparum (uncomplicated) 
Artemisinin based combination therapy (ACT) 
Single dose of primaquine
3.complicated (above)
IV artesunate 
ACT 
single dose primaquine

Question 9

P.vivax and p.falci difference?

Answer 9

5