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                    Dr. Shashank Jain

Fever, approach and guidlines

     Jains Clinic, E-2 Church compound, Sukhdev Vihar, New Delhi-25; India

Tel: Clinic: 011-26922890   Mobile: 9312403074, 9868856511 

E-mail: [email protected]

Fever investigations
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                                     Microscopic examination

 

                                 

                                                                  Malaria Positive slide

 

Diagnosis of fever means diagnosis of infection causing it.

bullet Investigations are guided by clinical examination and duration of fever.
bullet They may include examination of blood, urine, sputum, stool, cultures, serological tests, x ray, ultrasound etc.

 

Blood examination.

 

  1. Complete blood counts including Hb, TLC, DLC, ESR-can give vital information including type and severity of infection .

  2. Peripheral smear examination for Malaria, Filaria etc.

  3. Platelet count can predict chances of haemorrhage in patients of dengue fever, complicated typhoid and malaria.

 

Sputum examination in case of pneumonia , bronchitis can isolate organism causing chest infection.

 

Urine examination including microscopic and culture for diagnosis of UTI (Urinary tract infection).

 

Stool examination for diagnosis of dysentery, cholera etc.

 

Serological tests can detect antibodies to organism causing infection and gives indirect evidence of infection. Typhoid ( Widal test), Malaria, tuberculosis, dengue fever can all be diagnosed with these tests.

 

Cultures if positive give confirmatory evidence of infection by a particular organism and also provide a list of antibiotics which will be most effective against the causative agent. Cultures of blood, sputum, throat swab, pus, urine , stool can be done.

X ray can diagnose chest infection, sinusitis, tuberculosis, bone infection.

 

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