# Tropical medicine for the General Practitioner - Cases From Peru Dr Clinton Colaco

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Text version: https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659/tropical-medicine-for-the-general-practitioner-cases-from-peru-dr-clinton-colaco.md
Podcast: [General Practice Clinical Sessions Podcast](https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659)
Published: 2026-08-18T19:30:00+00:00
Episode link: https://general-practice.captivate.fm/episode/tropical-medicine-for-the-general-practitioner-cases-from-peru-dr-clinton-colaco
Audio file: https://episodes.captivate.fm/episode/5c601e34-f9f3-4530-9de5-5e6e1695a4de.mp3
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Duration seconds: 3165

## Resource

Host: Michelle Odayan (My Health Academy) Guest Speaker: Dr. Clinton Colaco (Infectious Diseases & Consultant Physician) Watch the video version with slides at Spotify https://open.spotify.com/episode/4fOSlJ5aLu2ijIKhmlGTZg Episode Overview Join us as Sydney infectious diseases physician Dr. Clinton Colaco shares clinical pearls and fascinating case studies from his time completing the prestigious Gorgas Course in Clinical Tropical Medicine in Lima, Peru. While these cases originate in South America, their diagnostic lessons are highly relevant for any primary care clinician treating travelers, immigrants, or dealing with local tropical pathogens. From navigating the diagnostic pitfalls of syphilis testing to removing botfly larvae, this episode equips general practitioners (GPs) with the essential skills to spot overlooked tropical diseases and ask the right social and travel questions. High-Yield Chapter Markers [00:00] Introduction Host Michelle Odayan introduces Dr. Clinton Colaco and his background. [05:30] Case 1: Syphilis, HIV, & The "Prozone Effect" A 41-year-old male presents with a widespread psoriasiform rash and a negative RPR test. Dr. Colaco explains the prozone effect —how an excess of antigen-antibody complexes can cause false-negative serology in secondary syphilis—and how to overcome it with serum dilution. [09:15] Case 2: Cryptococcal Meningitis & Bedside Eye Ultrasound A 26-year-old law student presents with severe headaches, seizures, and an astronomical lumbar puncture opening pressure of 136 cm H₂O. Learn how point-of-care ultrasound (POCUS) over the eye can detect optic nerve sheath thickening to screen for raised intracranial pressure. [14:40] Case 3: Hydatid Lung Cysts (Echinococcus) A 20-year-old from the Bolivian border presents…

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