MedBugs: SAQ #337

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Case: Fever in a returned traveller

A 32 year old male presented with fever with chills, night sweats headache and cough for past 3 days. He returned from Cambodia 2 weeks ago.

Temp 39°C
HR 134 bpm
BP 90/60 mmHg
RR 20 /min
Sats 98 % RA

You notice maculopapular rash throughout his body. You suspect he has malaria.

1. List (3) differential diagnoses for this presentation. 3 marks

2. List and justify (4) investigations required. 4 marks

3. Other than being bitten by an infected vector mosquito, list (3) other modes of transmission of malaria. 3 marks

4. In the table below, list (2) malarial parasites with (1) unique clinical hallmark for each. 2 marks

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Case: Fever in a returned traveller

1. List (3) differential diagnoses for this presentation. 3 marks

2. List and justify (4) investigations required. 4 marks

3. Other than being bitten by an infected vector mosquito, list (3) other modes of transmission of malaria. 3 marks

4. In the table below, list (2) malarial parasites with (1) unique clinical hallmark for each. 2 marks

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