Author: Jessie Lynch / Editor: Sarah Edwards / Codes: IC7, IP2, SLO1 / Published: 02/09/2022
A 35-year-old previously fit and well male is brought in by ambulance at approximately 10pm.
He returned 10 days prior from a trip to Tanzania. He started feeling unwell 2 days prior to departure from Tanzania.
He is complaining of pyrexia, diaphoresis, headaches, myalgia, abdominal pain, diarrhoea, and yellow discolouration of his skin.
On examination he is alert, tachycardic (HR 105), normotensive (BP 111/60) and tachypnoeic (RR32). SpO2 is 99% on FiO2 21%. He is apyrexic but did receive intravenous paracetamol prehospital.
Cardiorespiratory and neurological examination is unremarkable. He has obvious scleral icterus. His abdominal examination reveals diffuse tenderness but no peritonism, and palpable splenomegaly.
VBG: pH 7.31, HCO3- 20.0, pCO2 3.3, BE -4.1, lactate 7.1
Bloods:
- Urea 10.5
- Creatinine 174
- Total bilirubin 138.6
- ALT 57
- AST 86
- Platelets 25
- Hb 13.2
- CRP 259
CXR: Normal cardiomediastinal contour, lung fields clear.
Module Content
Tropical Diseases
Next to be seen is a 35 year old male, returned from Ghana, presenting with muscle pain, headaches, a history of fever and diarrhoea
Intracranial Infections
CNS infections are relatively rare, but form a very important differential diagnosis in the unwell patient presenting to the ED.
Jaundice
Jaundice is a physical finding, which emergency physicians see in patients who may present with jaundice alone or with other complaints and symptoms.
8 Comments
excellent
Good treatment summary
Nice topic
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Excellent case
Good revision for Malaria
Good revision case.
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