One can differentiate different types of fever clinically, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.
Following are the tips
*If a patient comes with fever with chills and rigors, think of Malaria in north and filaria in the Vidarbha region in India.
*In malaria, chills occur in the afternoon and in Filaria, chills are in the evening.
*Fever with joint pains on extension is often 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 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 loose motions (watery, no blood, no mucous): Rule out acute gastroenteritis
*Jaundice appears after the fever resolves: This is viral hepatitis
*One feels very weak after the fever resolves: Rule our dengue hemorrhagic fever
*In malaria, chills occur in the afternoon and in Filaria, chills are in the evening.
*Fever with joint pains on extension is often 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 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 loose motions (watery, no blood, no mucous): Rule out acute gastroenteritis
*Jaundice appears after the fever resolves: This is viral hepatitis
*One feels very weak after the fever resolves: Rule our dengue hemorrhagic fever
.
