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Best of Five MCQs for the Acute Medicine SCE$
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Nigel Lane, Louise Powter, and Sam Patel

Print publication date: 2016

Print ISBN-13: 9780199680269

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780199680269.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 26 October 2021

Infectious Diseases and Hiv

Infectious Diseases and Hiv

Chapter:
Chapter 12 (p.313) Infectious Diseases and Hiv
Source:
Best of Five MCQs for the Acute Medicine SCE
Author(s):
Nigel Lane, Louise Powter, Sam Patel
Publisher:
Oxford University Press
DOI:10.1093/oso/9780199680269.003.0016

A 22-year-old woman returned two months ago from a four-week trip to Kenya. She took mefloquine as antimalarial prophylaxis, which she stopped on return to the UK, and was up to date with vaccinations against yellow fever, typhoid, rabies, and hepatitis A and B. She had developed fever three days earlier, which was associated with headaches, rigors, and myalgia. On the day of admission she was confused and had profuse watery diarrhoea. She had vomited bile twice in the acute medical unit.

On examination, she had a temperature of 40°C, pulse 120 beats per minute and regular, and blood pressure 90/50 mmHg. Fundoscopy revealed a small retinal haemorrhage on the left. She had reduced tissue turgor but there was no lymphadenopathy. There was no meningism. Respiratory and abdominal examinations were normal. She weighed 60 kg.

Keywords:   anticonvulsants, chickenpox, dapsone, grand mal seizures, hepatic amoebiasis, immune deficiency testing, malaria, onchocerciasis, parvovirus infection, quinine

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