A 30 year old backpacker returns home from touring Thailand, Myanmar and Bangladesh with several days of fever and chills. On examination he has a tem

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Subject
Medicine
System
Infectious Diseases

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Jan 16, 2021
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Module 05: Health Promotion and Disease Prevention (Assessment)
A 30 year old backpacker returns home from touring Thailand, Myanmar and Bangladesh with several days of fever and chills. On examination he has a temperature of 39* C and is moderately unwell.

Which diagnosis related to travel should initially be considered?


A. Malaria
B. Tuberculosis
C. Enteric Fevers esp. Typhoid
D. Prodrome of Hep. A
E. Dengue Fever

What investigations will you order?

A. Serum for Hep A antigen and antibody
B. PPD tuberculin skin test and a Chest Xray
C. Thick blood film for Malaria
D. Widal Weil Felix for Typhoid and Paratyphoid fevers and blood culture for other enteric fevers
E. Serum for Dengue Fever and a full blood picture for platelet count