SAQ 1 – ID – Febrile Traveller

Marked out of 18.00

A 40-year-old man presents to the emergency department with fever and confusion for 24 hours. He has just returned from backpacking through Papua New Guinea and Indonesia.

Observations:

HR 120 bpm
RR 16 /min
BP 130/80 mmHg
Temp 39.5 °C
GCS 13 (E4, V3, M6)

a. List four (4) MOST LIKELY differential diagnoses for this presentation. For each diagnosis, list the expected incubation period prior to clinical features.

(Marked out of 8.0)
</p> <table style="width:100%; border-collapse: collapse;"> <thead> <tr style="background-color: #f2f2f2;"> <th style="border: 1px solid #bbb;">Differential Diagnosis</th> <th style="border: 1px solid #bbb;">Expected Incubation Period</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #bbb;">1.</td> <td style="border: 1px solid #bbb;"></td> </tr> <tr> <td style="border: 1px solid #bbb;">2.</td> <td style="border: 1px solid #bbb;"></td> </tr> <tr> <td style="border: 1px solid #bbb;">3.</td> <td style="border: 1px solid #bbb;"></td> </tr> <tr> <td style="border: 1px solid #bbb;">4.</td> <td style="border: 1px solid #bbb;"></td> </tr> </tbody> </table> <p>

/ 8

b. List four (4) key investigations that you may perform to assist with the diagnosis.

(Marked out of 4.0)

/ 4

c. List two (2) specific medications that you would consider as empiric treatment prior to obtaining confirmatory tests for this patient. For each, list the dose and route.

(Marked out of 6.0)
</p> <table style="width:100%; border-collapse: collapse;"> <thead> <tr style="background-color: #f2f2f2;"> <th style="border: 1px solid #bbb;">Medication</th> <th style="border: 1px solid #bbb;">Dose</th> <th style="border: 1px solid #bbb;">Route</th> </tr> </thead> <tbody> <tr> <td style="border: 1px solid #bbb;"></td> <td style="border: 1px solid #bbb;"></td> <td style="border: 1px solid #bbb;"></td> </tr> <tr> <td style="border: 1px solid #bbb;"></td> <td style="border: 1px solid #bbb;"></td> <td style="border: 1px solid #bbb;"></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 18

Percentage: 0%