Symptoms
& Disease




     


























   

An oral temperature greater than 98.9 F [at 6.00
am] or 99.9 F [at 6:00 pm] would define a fever.

  

History

Attention should be paid to the chronology of
symptoms or any surgical or dental procedure.
Occupational history includes exposure to animals,
toxic fumes, or other febrile individuals. History
of IV drugs, trauma, animal or insect bites, prior
trnsfusions, immunisations or drug allergy is
necessary.

 

Patterns

A fever could be presistent, intermittent,
remittent or relapsing. However, the widespread
use of antipyretics antibiotics, or steroids can
alter the course of fever.

 

Axillary temperature is unreliable. Oral
temperature is reliable, but it can mislead if
taken immediately, after consumption of hot or
cold drink, smoking or hyperventilation.

 

Laboratory
Test


If the history and physical examination suggest
more than a simple viral illness or a
streptococcal pharyngitis than only laboratoy
tests are indicated.

 

Treatment

In practice fever is often suppressed by the use
of antipyretics which can obscure important
clinical information. A low grade or moderate
fever is not harmful and a routine use of
antipyretics should be avoided.

 

Fever

 

With
Chills

Malaria,
UTI, Septicemia

 

Loss
of appetite, vomiting, photophobia

Viral
hepatitis

 

Headache,
vomiting, stiff neck

Meningitis

 

Loss
of weight, appetite, Sweating at night, hemoptysis,
cough

T.B.

 

High
fever, headache with rose spots, bradycardia

Typhoid

 

Throat
pain, difficulty in swallowing

Tonsilitis,

Pharyngitis

 

With
Rashes

Chicken
Pox, measles drug allergy

 

With
clubbing of finger, Palpable spleen and petechiae

Endocarditis

 

  

  

Malaria
 

Peripheral
blood smear

WBC count- Low to normal

  

Treatment

Chloroquine

Sulfadoxine + Pyrimethamine

Primaquine

Top

    

UTI

  

Tenderness
in costovertebral angle

Frequency of urine

Burning of urine

Urine routine test

Urine Culture and sensitivity

 

Treatment

TMP + Sulfamethaxazole

Ciprofloxacin

Top

 

Viral
Hepatitis

    

Photophobia

Altered taste & smell

Jaundice

Tenderness of liver

Liver function test

Influenza

Photophobia

Burning eyes

Cough, sore throat

Throat swab for isolation of virus low
WBC count

Top

  

Meningitis
  

Confusion, delirium

Lethargy or coma

Stiff neck

Examination of CSF

Blood Culture & sensitivity



Treatment

Ampicillin

Cefotaxime

Aminoglycosides

Top

  

Tuberculosis
  

Chest X-ray

Sputum for AFB

Sputum culture

Lymph node biopsy



Treatment

Isoniarid

Rifampin

Ethambutol

Streptomycin

Top

  

Typhoid

  

Prolonged and persistent fever

Mild hepatosplenomegaly

Bracardia relative to fever

Rose’ Spots on chest and abdomen

Severe anorexia

Change in sensorium

Low WBC count

Blood culture

Widal culture

Treatment

Chloramphenicol

Ciprofloxacin

Top

  

Endocarditis

  

Splenomegaly

Murmur

Petechaie

Clubbing

Anemia

Proteinuria

Microscopic hematuria

Positive blood culture

Treatment

Penicillin

Cephalosporin

Vancomycin

Top

  

Pneumonia

  

X-ray Chest

Sputum Cl and sensitivity Gram’s
staining of sputum

Treatment

Penicillin

Cephalosporin

Erythromycin

Top

  

Liver
Abscess

  

Liver tenderness

USG of Liver

Treatment

Metronidazole

Top

  


Pharyngitis
  

Sore throat, Coryza, Cough,
Fever

Diagnosis: Culture of throat
swab



Treatment:

Oral Penicillin or
Erythermycin for 10 days Or A
single I.M injection of
benzathine penicillin

Top

 







    

Symptoms & Disease

     

   
An oral temperature greater than 98.9 F [at 6.00 am] or 99.9 F [at 6:00 pm] would define a fever.
  
History
Attention should be paid to the chronology of symptoms or any surgical or dental procedure. Occupational history includes exposure to animals, toxic fumes, or other febrile individuals. History of IV drugs, trauma, animal or insect bites, prior trnsfusions, immunisations or drug allergy is necessary.
 
Patterns
A fever could be presistent, intermittent, remittent or relapsing. However, the widespread use of antipyretics antibiotics, or steroids can alter the course of fever.
 
Axillary temperature is unreliable. Oral temperature is reliable, but it can mislead if taken immediately, after consumption of hot or cold drink, smoking or hyperventilation.
 
Laboratory Test
If the history and physical examination suggest more than a simple viral illness or a streptococcal pharyngitis than only laboratoy tests are indicated.
 
Treatment
In practice fever is often suppressed by the use of antipyretics which can obscure important clinical information. A low grade or moderate fever is not harmful and a routine use of antipyretics should be avoided.
 
Fever
 
With Chills
Malaria, UTI, Septicemia
 
Loss of appetite, vomiting, photophobia
Viral hepatitis
 
Headache, vomiting, stiff neck
Meningitis
 
Loss of weight, appetite, Sweating at night, hemoptysis, cough
T.B.
 
High fever, headache with rose spots, bradycardia
Typhoid
 
Throat pain, difficulty in swallowing
Tonsilitis, Pharyngitis
 
With Rashes
Chicken Pox, measles drug allergy
 
With clubbing of finger, Palpable spleen and petechiae
Endocarditis
 
  
  

 
Peripheral blood smear
WBC count- Low to normal
  
Treatment
Chloroquine
Sulfadoxine + Pyrimethamine
Primaquine

Top
    

  
Tenderness in costovertebral angle
Frequency of urine
Burning of urine
Urine routine test
Urine Culture and sensitivity
 
Treatment
TMP + Sulfamethaxazole
Ciprofloxacin

Top
 

    
Photophobia
Altered taste & smell
Jaundice
Tenderness of liver
Liver function test

Influenza
Photophobia
Burning eyes
Cough, sore throat
Throat swab for isolation of virus low WBC count

Top
  

  
Confusion, delirium
Lethargy or coma
Stiff neck
Examination of CSF
Blood Culture & sensitivity

Treatment
Ampicillin
Cefotaxime
Aminoglycosides

Top
  

  
Chest X-ray
Sputum for AFB
Sputum culture
Lymph node biopsy

Treatment
Isoniarid
Rifampin
Ethambutol
Streptomycin

Top
  

  
Prolonged and persistent fever
Mild hepatosplenomegaly
Bracardia relative to fever
Rose’ Spots on chest and abdomen
Severe anorexia
Change in sensorium
Low WBC count
Blood culture
Widal culture

Treatment
Chloramphenicol
Ciprofloxacin

Top
  

  
Splenomegaly
Murmur
Petechaie
Clubbing
Anemia
Proteinuria
Microscopic hematuria
Positive blood culture

Treatment
Penicillin
Cephalosporin
Vancomycin

Top
  

  
X-ray Chest
Sputum Cl and sensitivity Gram’s staining of sputum

Treatment
Penicillin
Cephalosporin
Erythromycin

Top
  

  
Liver tenderness
USG of Liver

Treatment
Metronidazole

Top
  

  
Sore throat, Coryza, Cough, Fever
Diagnosis: Culture of throat swab

Treatment:
Oral Penicillin or Erythermycin for 10 days Or A single I.M injection of benzathine penicillin

Top
 

By |2022-07-20T16:44:23+00:00July 20, 2022|Uncategorized|Comments Off on Fever

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