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ACUTE UNDIFFERENTIATED
FEVER
FEVER OF UNKNOWN ORIGIN
MANAGEMENT ALGORITHM
WHYTO LOOK FOR MALARIA
Non-
Malarial AUF
Only those patients who tested positive should be treated
with antimalarials
1 – 3 DAYS 4 - 7 DAYS 8 – 14 DAYS
CBC LFT CRP
RBS, RFT USG ABDOMEN & KUB LEPTO – Ig M, MSAT
URINE ROUTINE REPEAT BASIC
INVESTIGATIONS AS
REQUIRED
TEST FOR SCRUB
ECG OTHER RELEVANT
IMAGING STUDIES
TEST FOR ARBOVIRUS
PERIPHERAL SMEAR X-RAY CHEST WIDAL
If TC , PLATELET are
decreased – NS1 ANTIGEN
BLOOD & URINE C/S
ANTIBIOTIC THERAPY
1 – 3 DAYS 4 – 7 DAYS
8 – 10 DAYS
No antibiotics START
ANTIBIOTICS if
Empirically start
antibiotics
Oral/ IV Fluids IncreasedTotal count
with Neutrophilia
Antipyretics
Preferably
Paracetomol
Urine Pus cells plenty
CHOICE OF ANTIBIOTICS
Azithromycin / Doxycycline
Third generation Cephalosporin
THANKYOU

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Fever

  • 1.
  • 5.
  • 6. WHYTO LOOK FOR MALARIA Non- Malarial AUF Only those patients who tested positive should be treated with antimalarials
  • 7.
  • 8. 1 – 3 DAYS 4 - 7 DAYS 8 – 14 DAYS CBC LFT CRP RBS, RFT USG ABDOMEN & KUB LEPTO – Ig M, MSAT URINE ROUTINE REPEAT BASIC INVESTIGATIONS AS REQUIRED TEST FOR SCRUB ECG OTHER RELEVANT IMAGING STUDIES TEST FOR ARBOVIRUS PERIPHERAL SMEAR X-RAY CHEST WIDAL If TC , PLATELET are decreased – NS1 ANTIGEN BLOOD & URINE C/S
  • 9. ANTIBIOTIC THERAPY 1 – 3 DAYS 4 – 7 DAYS 8 – 10 DAYS No antibiotics START ANTIBIOTICS if Empirically start antibiotics Oral/ IV Fluids IncreasedTotal count with Neutrophilia Antipyretics Preferably Paracetomol Urine Pus cells plenty
  • 10. CHOICE OF ANTIBIOTICS Azithromycin / Doxycycline Third generation Cephalosporin