The unwell returned traveller.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Jennifer Sisson
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引用次数: 0

Abstract

Background: Presentations of unwell patients after travel can be challenging, as assessment and management requires consideration of a range of unfamiliar conditions.

Objective: The objective of this article is to provide general practitioners (GPs) with a framework they can use when faced with an unwell returned traveller. This enables the GP to go through a process to reach a differential diagnosis, and ultimately a diagnosis, of the illness or illnesses that may be present.

Discussion: There are many causes of illness in the returned traveller; these range from very common and potentially self-limiting to severe and potentially life-threatening.  It is important that GPs are aware of the epidemiology and incubation periods of diseases overseas to help provide a diagnosis or diagnoses. The process will help GPs identify life-threatening diseases or those that may be a public health threat. A detailed history of travel itinerary and the presenting symptoms, combined with a thorough examination and relevant investigations, are required. The treating GP requires an awareness of when extra help or referral are required.

生病归来的旅行者。
背景:旅行后不适患者的表现可能具有挑战性,因为评估和管理需要考虑一系列不熟悉的情况。目的:本文的目的是为全科医生(全科医生)提供一个框架,他们可以使用时,面对一个不舒服的返回旅行者。这使全科医生能够通过一个过程来达到鉴别诊断,并最终诊断出可能存在的疾病。讨论:归国旅行者的致病原因有很多;这些症状从非常常见和可能自我限制到严重和可能危及生命。全科医生必须了解海外疾病的流行病学和潜伏期,以协助作出诊断。这一过程将帮助全科医生识别危及生命的疾病或可能对公众健康构成威胁的疾病。需要详细的旅行路线和出现症状的历史,并结合彻底的检查和相关调查。治疗全科医生需要意识到什么时候需要额外的帮助或转诊。
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来源期刊
Australian Journal of General Practice
Australian Journal of General Practice Medicine-Family Practice
CiteScore
2.80
自引率
4.50%
发文量
284
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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