Term
| Which standard vaccinations need update upon travel? |
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Definition
1) TDaP
2) Influenza
3) Pneumovax
4) Polio
5) Measles |
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Term
| What do you do in a case of Traveler's diarrhea? |
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Definition
NOT PROPHYLAXIS
1) Self treat with hydration
2) Loperamide if >2 loose stools per 24 hours, but not in case of fever or blood
3) Antibiotics if fever or presence of blood or >5 loose stools per day |
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Term
| What do you do if you get Typhoid fever? |
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Definition
Fever and malaise but not diarrhea in India
1) inactivated or live vaccine but 50-70%
2) Treat with Bactrim, Amoxicillin or FQ, but probably EMPIRIC CEFTRIAXONE |
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Term
| What rare traveler's disease involves jaundice in South America and Africa? |
|
Definition
Yellow fever (live vaccine lasts 10 years)
also HepA or HepB |
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Term
| When is the Meningococcal vaccine indicated? |
|
Definition
1) Meningococcal belt in Africa during Dec-June
2) Mecca (Hajj) |
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Term
| What do you do if you are bitten by a rabies-infected animal? |
|
Definition
Vaccinated- get 2 doses as post-exposure prophylaxis
Non-vaccinated- get IgG with 4 doses of vaccine |
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Term
| What types of diseases are associated with Short vs. Long exposure times during travel? |
|
Definition
Short- Influenza, diarrhea, URI's and non-travel related
Long- TB and parasitics such as amebic liver abscesses or strongyloidiasis |
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Term
| What incubation times are associated with Malaria, Typhoid Fever and Viral Hemorrhagic fever, respectively? |
|
Definition
Malaria (falciparum)= 7-90 days
Typhoid fever= 7-21 days
VHF= 2-21 days |
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Term
| What are you worried about if a traveler returns with a fever? |
|
Definition
1) Malaria X 3
2) Dengue
3) Typhoid
4) Meningococal meningitis
5) Katayama fever (Schistosomiasis)
6) Letospirosis |
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Term
| What are you worried about if a traveler returns with a diarrhea? |
|
Definition
1) Bacterial (E. coli, salmonella, shigella, cholera)
2) Protozoal (Entameba, Giardia, Cryptosporidium)
3) Viral (norovirus) |
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Term
| What are you worried about if a traveler returns with Confusion? |
|
Definition
1) Viral encephalitis (Japan or WNV)
2) Meningococcal meningitis
3) Typhoid fever
4) Malaria |
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Term
| What are you worried about if a traveler returns with a Jaundice? |
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Definition
1) HepA
2) HepB
3) Yellow Fever |
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Term
| What are the most common illnesses associated with returning travelers? |
|
Definition
1) Malaria
2) Infected insect bite
3) Diarrhea
4) URI
5) Dengue
6) Typhoid
7) Chikungunya, HepA and Rickettsia |
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Term
| What are the most URGENT illnesses associated with returning travelers? |
|
Definition
1) Malaria
2) Typhoid
3) Amebic liver abscess
4) VHF |
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