Pre-Travel Visit

HISTORY:

Presents for a pre-travel assessment

Destination: ‍

Duration of stay: ‍ ‍daysweeksmonths

Departure date: ‍

Return date: ‍

Purpose of travel: ‍businessleisurestudyvolunteer workother

Planned activities: ‍sightseeingoutdoor adventureswater sportswildlife exposurehigh altituderemote areas

Health travel insurance: ‍yesno



Vaccinations:

Hepatitis A: ‍up-to-dateadministeredschedulednot required

Hepatitis B: ‍up-to-dateadministeredschedulednot required

Typhoid: ‍up-to-dateadministeredschedulednot required

Yellow fever: ‍up-to-dateadministeredschedulednot required

Traveler's diarrhea: ‍up-to-dateadministeredschedulednot required

Japanese encephalitis: ‍up-to-dateadministeredschedulednot required

Rabies: ‍up-to-dateadministeredschedulednot required

Meningococcal: ‍up-to-dateadministeredschedulednot required

COVID-19: ‍up-to-dateadministeredschedulednot required



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°



ASSESSMENT:

Pre-travel assessment



PLAN:

- Blood work: ‍Hepatitis A, ‍Hepatitis B

- Vaccinations: ‍Hepatitis A, ‍Hepatitis B, ‍Typhoid, ‍Yellow fever, ‍Dukoral, ‍Japanese encephalitis, ‍Rabies if risk of animal bites, ‍Meningococcal

- Malaria prophylaxis: ‍

- Traveler's diarrhea: ‍, ‍, advice given on food and water precautions

- Motion sickness: ‍

- Altitude sickness: ‍

- Sun protection: ‍, ‍, advice given on sun avoidance and protective clothing

- Insect bite prevention: ‍DEET-containing repellent, ‍Permethrin-treated clothing, advice given on insect avoidance and protective clothing at night

- Referral to travel medicine clinic

- Follow-up ‍ ‍daysweeks post-travel