I got the fever

 

This SAQ is worth 20 marks

A 26 year old man, arriving from West Africa five days ago, is brought to the emergency department by his concerned relatives. He has a history of malaise, anorexia and a non-blanching rash.

His vital signs are:

HR 120 beats/min
BP 110/70 mmHg
RR 24 /min
O2 Saturation 98 % on room air
Temperature 38.5 C

Question 1.
List your three (3) most important differential diagnoses. (3 marks)

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________



Question 1.
List three (3) key issues for your initial management in the emergency department, and two (2) details for how you would accomplish them.
(9 marks)

   Key issue Details of how
to accomplish
1

1.
2.
2

1.
2.
3

1.
2.



Question 2.
List and justify your four (4) most important diagnostic investigations. (8 marks)

   Diagnostic investigation Justification
1    
2    
3    
4    



 

This SAQ is worth 20 marks

A 26 year old man, arriving from West Africa five days ago, is brought to the emergency department by his concerned relatives. He has a history of malaise, anorexia and a non-blanching rash.

His vital signs are:

HR 120 beats/min
BP 110/70 mmHg
RR 24 /min
O2 Saturation 98 % on room air
Temperature 38.5 C

Question 1.
List your three (3) most important differential diagnoses. (3 marks)

Examiner Comments: Failure to consider EBOLA (haemorrhagic fever accepted as covering this) in the differential was a serious omission.

Question 1.
List three (3) key issues for your initial management in the emergency department, and two (2) details for how you would accomplish them.
(9 marks)



Question 2.
List and justify your four (4) most important diagnostic investigations. (8 marks)




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fever   febrile   traveller   immigrant   ACEM_2015.1