All right, welcome to episode 632 of the Divine Intervention podcast. In today's podcast, we're going to be continuing the series on travel medicine. This is going to be part B. Again, if you miss part A, I strongly encourage you to go back and listen to it. It is a very high-year podcast, and I know it may be titled Travel Medicine, but it's not just travel medicine I discussed there.

I made a lot of very useful integrations that I think you're going to find to be helpful for your exams.

All right. Let's jump right into it. So what if they give you a question about a patient?

They tell you that this patient, you know, traveled, you know, traveled. It can even be traveled

within the U.S. actually or traveled outside the U remember you're taking the US MLA exams

and you know over the past five days the patient has been having like very high fevers and the

fevers have worsened over the course of the week you know they tell you that the person has

been having a you know that on Monday their temperature was like a 101 on Tuesday was 102

Wednesday was 103.

Something, you just have this progressive increase in the person's temperature over time.

And then they tell you that you see these faint macules on the person's lower abdomen.

And then, you know, they give you that, oh, the current vital signs, you see the person's temperature is 104, and you notice that this person's heart rate is 45, right? The person's heart rate

is 45, and they tell you that the person has not had any bowel movement over the last,

over the last two days. If you see something like this, and it's probably going to be in a

child on

your exams, what should you be thinking about? I hope you're thinking about typhoid fever, right? So this

child has infection with Samonella Typhi, right? And the thing is, again, just like I did in the

previous podcast, there are so many different integrations they can make with this stuff on your exams.

So, like, for example, they can ask you, like, how did this person acquire this infection? Well, obviously, it's going to be by way of a fecal oral transmission, right? Fecal oral transmission, you consume contaminated food, you consume contaminated water, you're going to increase your risk of contracting a salmonella, right? And the thing is salmonella, what kind of, if you were to is salmonela what kind of that if it were to

cause diarrhea what kind of diarrhea would it cause is actually going to cause bloody diarrhea

it's going to cause bloody diarrhea right because it's an invasive organism right so basically what it does

is there's these m cells i believe they're called microfold cells that we found in finding the

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