Approach to Fever

Approach to Fever:

1. Fever Grade:

2.If the patient has come from an ENDEMIC ZONE Like

3. If there any symptoms present like -malaise, headache, Runny nose

4. Is fever associated with Chilly ang Rigor then DD

5. Is there any rash?

Fever with Rash :

Infective cause:

(Very Sick Person Must Take Double Eggs)

Non-Infective cause:

SLE,Vasculitis,Leukemia,aplastic anaemia,any drug,

6. Any localizing symptoms present or not:

Headache, malaise, running nose, dry cough: Viral fever
Fever with sore throat: Tonsillitis / pharyngitis
Cough (dry/productive) chest pain with or with breathlessness: Pneumonia
Fever cough with productive sputum with breathlessness: COPD
Low grade fever evening rise temperature, weight loss, appetite: TB
Fever with vomiting and diarrhea: Gastroentenitis
Fever with jaundice: Viral hepatitis, malaria, liver abscess, Leptospira
Urinary urgency, frequency, dysuria: UTI i. Fever with loin pain: Pyelonephritis .
Fever with joint pain and swelling: Viral arthritis, RA, SLE

Red Flags mark of Fever:

1. Unconsciousness/Drowsiness/irreverent talk:

2. Any bleeding manifestation like gum bleeding /epistaxis:

3.Sign of meningial irritation:

4.Joint Tenderness:

5.Breathlessness:

6. Weight loss & night sweat & evening rising temperature:

7.Jaundice:

Investigation of Fever:

Day (1-5):

Day(5-7):

Fever > 1 months:PUO/FUO

Protocols