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Fever
take duration
take highest temperature
pattern of fever - not…
Fever
take duration
take highest temperature
pattern of fever - not very useful, but malaria and dengue have spiking fevers
ask about host immunocompromise: drugs, splenectomy, HIV, DM
infection
start with IAMHISTORY
I - ingestion
A - animal
M - mosquito
H - hospitalisation
I - intimate contact
S - sick contact
T -
O - occupation
R - recreational water sports
Y - Your vaccination
go head to toe
Meningitis
RF:
Travel to the Haj and Africa
recent sinus infections
Neck Stiffness
Photophobia
Headache
AMS
raised ICP - N&V, diplopia, seizures, FND
Rashes - non-blanching
Cx:
Raised ICP
Eye:Keratitis
conjunctivitis
scleritis presentation:
- red eye (points to more surface nature of infection)
- discharge
- blurring of vision
- dry eyes
ENT:Otitis Media
RF: recent urti
Nose (sinusitis)
- nasal congestion
- epistaxis
- loss of smell
- facial pain, headache in frontal sinusitis
CX - orbital cellulitis , red and painful Throat
- sore throat
- pain on swallowing or dysphagia
- hoarseness - indicative of laryngitis
- halitosis (foul smelling breath)
Lungs:Pneumonia
RF:
- healthcare - ventilator a/w pnuemonia
- sick contacts
- aspiration
- dormitory / prisons
Presentation:
TB
RF:
roughly same as pneumonia
Presentaiton:
- SOB
- cough
- consti - night sweats, LoW LoA
Cx:
- CNS
- Spine
- GI - ask for crohn's sx
- genitourinary
HeartIE:
RF:
- heart problems like valve or congenital
- IVDU
- AVF
- dental work
presentation:
-
UTI
- haematuria
- cloudy urine
- dribbling
- frequency and urgency
Mosquitoes:
ask for prev dengue infection
do they know whether they live in a dengue red zone presentation
- rash
- retroorbital pain
- mucosal bleeding
- arthralgia and myalgia
warning signs
- abdo pain
- liver enlargement
- N&V
- lerthargy
- low platelets
- mucosal bleeding
- malaria
RF
THx
prophylaxis compliance
Presentation
- haemolytic anaemia jaundice
- N&V
- zika
ask more about conjunctivitis
- chikungunya
more about athalgia and myalgia
RatsLeptospirosis
Presentation
- jaundice
- very bad scleral icterus
Typhus
RF:
- dorm / rat
- long grass mites
- usa
- dog
Presentation
- eschar formation
ricksettia
Recreational water activities
- schisto
swimmer's itch
katayama fever
abdomen pain
anorexia
leptospirosis
Sexare you sexually active?sx
- genital discharge
- ulcers / bumps / warts
- dysuria
- septic arthritis - especially if thinking gonorrhea
- rash
cx
- neruosyphillis
cardiovascular syphillis
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