Travel Medicine
Fever and Rash in an Infant Post-Travel
- Key Topics Discussed:
- Differential diagnosis for post-travel fever and rash
- Immediate management actions
- Candidate Performance:
- Inadequate knowledge on managing infective illnesses in children, particularly in a travel context
- Improvement Areas:
- Enhance understanding of pediatric infectious diseases, especially related to travel, and focus on relevant, immediate management strategies
Management of Fever and Rash in an Infant with Recent Overseas Travel
- Key Topics Discussed:
- Differential diagnoses for fever and rash
- Specific examination features
- Immediate management actions
- Candidate Performance:
- Lack of knowledge on managing infectious illnesses in returning travelers
- Improvement Areas:
- Enhance knowledge on common travel-related infections and focus on specific, relevant examination findings and management strategies
Rash and Travel Vaccinations
- Key Topics Discussed:
- Diagnosis and management of a rash
- Advice on travel vaccinations
- Candidate Performance:
- Struggled with recommending appropriate travel vaccinations, often suggesting irrelevant or routine immunizations
- Improvement Areas:
- Recognize specific vaccine requirements based on travel destination and patient’s immunization history
- Diagnose and manage dermatological conditions effectively
Travel-Related Illness
- Key Topics Discussed:
- Infectious causes of fever, joint pain, and arthritis after travel
- Candidate Performance:
- Failure to identify infectious causes
- Inadequate physical examination
- Improvement Areas:
- Specific infectious disease consideration
- Targeted physical examination findings
Lymphadenopathy in a Traveler
- Medical Heading:
- Infectious diseases, focusing on differential diagnosis of lymphadenopathy in a returning traveler
- Candidates Did Well On:
- Focusing on concise differential diagnoses relevant to the travel history
- Improvement Areas:
- Identifying appropriate investigations and the most important management step of excision/biopsy of the affected node
Female Returning from Southeast Asia with Cough, Back Pain, and Fever
- Key Topics Discussed:
- Differential diagnoses for post-travel illness
- Relevant history to assess symptoms
- Candidates Did Well On:
- Recognized the need to consider travel-related illnesses in the differential diagnoses
- Improvement Areas:
- Provide appropriate differential diagnoses based on the pattern of presentation
- Avoid asking about irrelevant history aspects not indicated by the scenario
- Focus on necessary history without unnecessary exploration of past medical history
Immunizations for Elderly Travelers
- Key Topics Discussed:
- Immunization requirements for older Aboriginal patients traveling
- Candidate Performance:
- Incorrect identification of necessary vaccines based on age and travel destination
- Improvement Areas:
- Improve knowledge on age-specific and destination-specific vaccination requirements
| Category | Disease/Condition | Common Aetiologies | Region |
|---|---|---|---|
| Fever | Malaria | Plasmodium species (P. falciparum, P. vivax, P. ovale, P. malariae) | Sub-Saharan Africa, Asia, Latin America |
| Dengue Fever | Dengue virus (DENV) | Tropical and subtropical regions (Africa, Southeast Asia, Americas, Eastern Mediterranean) | |
| Typhoid Fever | Salmonella Typhi | Asia, Africa, Latin America | |
| Leptospirosis | Leptospira species | Worldwide, especially tropical regions | |
| Q Fever | Coxiella burnetii | Worldwide | |
| Brucellosis | Brucella species | Mediterranean Basin, Arabian Peninsula, Indian subcontinent, Central and South America | |
| Fever + Rash | Measles | Measles virus | Worldwide |
| Rubella | Rubella virus | Worldwide | |
| Zika Virus | Zika virus | Tropical and subtropical regions (Africa, Americas, Asia, Pacific Islands) | |
| Chikungunya Fever | Chikungunya virus | Tropical and subtropical regions (Africa, Asia, Americas) | |
| Dengue Fever | Dengue virus | Tropical and subtropical regions (Africa, Southeast Asia, Americas, Eastern Mediterranean) | |
| Scarlet Fever | Group A Streptococcus | Worldwide | |
| Ebola Virus Disease | Ebola virus | Sub-Saharan Africa | |
| Fever + Rash + Arthritis | Chikungunya Fever | Chikungunya virus | Tropical and subtropical regions (Africa, Asia, Americas) |
| Zika Virus | Zika virus | Tropical and subtropical regions (Africa, Americas, Asia, Pacific Islands) | |
| Ross River Virus | Ross River virus | Australia, Papua New Guinea, Pacific Islands | |
| Rheumatic Fever | Post-streptococcal infection | Worldwide | |
| Fever + Rash + Diarrhea | Dengue Fever | Dengue virus | Tropical and subtropical regions (Africa, Southeast Asia, Americas, Eastern Mediterranean) |
| Ebola Virus Disease | Ebola virus | Sub-Saharan Africa | |
| Typhoid Fever | Salmonella Typhi | Asia, Africa, Latin America | |
| Leptospirosis | Leptospira species | Worldwide, especially tropical regions | |
| Measles | Measles virus | Worldwide | |
| Shigellosis | Shigella species | Worldwide, especially in areas with poor sanitation | |
| Enteric Fever | Salmonella species | Worldwide, especially in areas with poor sanitation |