Paediatric-History taking & Physical examination of Malaria

Paediatric-History taking & Physical examination of MalariaCreated OnApril 23, 2020Last Updated OnApril 23, 2020byadmin You are here: Main Clinical Examination Paediatric-History taking & Physical examination of Malaria < All Topics Table of Contents History taking: Ask about patient’s data: name, age, gender Ask about history of presenting illness History of fever? Continuous, high grade fever Quartan malaria: fever every 4th day (2 days afebrile) – P. malariae(has 72 hours cycle) Tertian malaria: fever every 3rd day – vivaxand P. ovale (48 hours cycles) Quotidian malaria: fever every day – knowlesi (24 hour cycle) Non-specific symptoms: chills, sweating, fatigue, headache, muscle ache, nausea, vomiting, poor feeding Symptoms of complications of malaria CNS: fitting episodes, confusion, drowsiness, restlessness Respiratory: shortness of breath, rapid breathing, recession GI: abdominal pain, yellowish discolouration of the skin and white parts of eyes, diarrhea Renal: red/ black coloured urine Haematogology: anemia, abnormal bleeding Other infectious diseases Dengue: rashes, retro-orbital pain, joint pain, muscle pain, abnormal bleeding Typhoid: ingestion of contaminated/ uncooked food? Leptospirosis: travel to waterfall? Ask about systemic review CVS: rapid breathing on exertion, SOB, palpitation Respiratory: rapid breathing, productive/ dry cough, wheezing, haemoptysis GI: reduced oral intake, vomiting, diarrhoea, abdominal pain/ distension, constipation, jaundice Renal: reduced urine output, haematuria, crying during micturition, changes in frequency, amount or colour of urine CNS: irritability, headache, fit, weakness, pain, incontinence, loss of consciousness MSK: joint pain, joint stiffness, joint deformities, joint swelling, difficulty ambulating Skin: rashes, dryness, pigmentation, itching, discolouration Eye: red eyes, watery eyes, blurring of vision, diplopia Ear, Nose, Throat: ear discharge, hearing loss, nasal block, hoarseness of voice Ask about travel history Recent traveling in the past 1 year? Where? – malaria endemic countries? Any antimalarial prophylaxis taken before going to malaria-endemic countries? Ask about antenatal history Maternal malaria infection à transplacental transmission Maternal anaemia Hx of intrauterine growth restriction (IUGR)? Ask about birth history Gestational age at delivery? – prematurity Birth weight? – low in congenital malaria Hx of diagnosed congenital malaria Hx of neonatal jaundice? Ask about past medical history Hx of malaria infection? – When? What treatment was given? Any complications? Any underlying chronic illness causing immunosuppression Hx of blood transfusion Hx of organ transplant Hx of diagnosed thalassemia, G6PD deficiency, sickle cell trait Ask about drug history Long term use of steroids/ immunosuppressive drug Any...

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