Different fevers can be differentiated clinically.
Following are few tips
- If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in Vidarbha region inIndia.
- In malaria, chills are in the afternoon; in filarial, the chills occur in the evening.
- Fever with joint pains on extension often is due to Chikungunya (flexion improves the pain)
- Think of dengue if there is fever with itching, rash and periorbital pain.
- In presence of fever with single chills think of pneumonia.
- Fever with sore throat, no cough, no nasal discharge: Think of streptococcal sore throat, especially in the children.
- Fever with red angry-looking throat: Think of streptococcal sore throat
- Fever with red epiglottis: Think of Hemophilus infection
- Fever with cough and or nasal discharge: Think of common flu
- Fever with cough, nasal discharge, nausea and vomiting: Think of H1N1 flu
- Fever with toxic look, persistent fever: Look for typhoid
- Fever with no or low rise in pulse: Look for typhoid
- Fever with urinary symptoms (burning, frequency): Rule out urinary infection.
- Fever with high TLC (white cell count) and liver pain: Rule out liver abscess
- Fever with watery diarrhea, with no blood or mucous: Rule out acute gastroenteritis
- After the fever is over, jaundice appears: This is viral hepatitis
- After the fever is over, one feels very weak: Rule our dengue hemorrhagic fever.
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