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Imported Malaria

Pediatric EM Morsels

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. falciparum parasitemia , and no other defined cause of AMS (WHO 2023). Third times the charm!

Seizures 278
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Malaria

Mind The Bleep

Investigations EDTA blood (ie an FBC bottle) should be sent urgently for thick and thin films Most laboratories will also perform a rapid diagnostic test (lateral flow), which has quite good sensitivity for P falciparum and reasonable sensitivity for P vivax If the rapid test is negative, consider alternative differentials (e.g.

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Cholera: ED presentation, evaluation, and management

EMDocs

Laboratory testing was not immediately available. The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 16 In resource-constrained settings, rapid diagnostic tests (RDTs) on stool samples offer a viable option. cholerae in stool samples before culture.