Page 2 of 2: Kenya

rk1972 · Credits: 1081 My Scrapbook

1. For this case ,Our work hypothesis at this moment should be=Malaria
2. Because of a travel in developing countries, Hepatitis A should always be ruled out

Correct me if i am wrong

mikejonathan20055 · Credits: 3355 My Scrapbook

if you do not mention thick smear for malaria-----------------ESSENTIAL you won't get credit for that Q

DRelsadig · Credits: 1676 My Scrapbook

when ever an african tropical counry is visited by a pt ... always put in mind: infections i. malaria ( major killer )
2. meningitis (CNS infection )
3. dango fever
4 . hepetitis A ( every body in africa has

it
5 . traveler diarrhoea in adults and shegella kid , and
Typhoid fever
6. TB if respiratory infection

sairababy · Credits: 2578 My Scrapbook

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doc604 · Credits: 435 My Scrapbook

Agree, Malaria is the most important illness to consider if a patient develops fever after having been in a malaria endemic area, espesially Africa (Sub-Saharan).

List of initial laboratory investigations for fever in the returning traveller

Complete blood count, white cell differential, and platelet count

Thick and thin blood films for malaria parasites

Blood cultures

Liver transaminases and bilirubin

Urine screening

Chest x-ray (if clinically indicated)

Save serum aliquot (held as "acute sera" for subsequent serologic testing

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