Cap. Amoxycilin 500mg tds x 5 days.

Tab. CROCIN 1 tds and S.O.S if fever.

General measures, as above.

If High fever with profuse sweating I.V. DNS 540 ml x 2.

If fever does not reduce within 3-4 days or within 3-4 days or antibiotic treatment, ask for routine investigations – i.e. Hb%, WBC, ESR, Widal test, Urine and X-ay chest.

Additional treatment will depend on the cause of the fever. So evaluate associated symptom.

If with colds and cough

i.e Pharyngitis and Bronchitis or Upper cough, cold, fever syndrome or General practice.

Cap. Pelox 400mg bd x 5.

Tab. Wikoryl 1 tds.

Supressa 2 tsp tds.

If with cough and one sided pain or breathlessness:

Ask for X-ray chest, to rule out pleural effusion on pneumonia.

If with severe headache:

Test for Neck stiffness.

If neck stiffness is present, refer immediately for L.P. Malaria also gives associated headaches.

If with Drowsiness or altered conciousness or restless ness:

Susptect meningitis and refer for L.P Also consider, cerebral malaria and encephalitis.

If severe weakness or severe anorexia:

Suspect ciral hepatitis and look for jaundice or tender Liver.

If child with Joint pain/ Joint swelling or murmur or undue tachycardia:

Suspect Rheumatic fever start Pencilin and aspirin and refer to Pediatrician.

If with splenomegaly:

Suspect Malarial first. Typhoid second and rearely leukemia or lymphoma.

If with hepatomegaly: First think of infective hepatitis. If no jaundice, suspect typhoid. If liver is non tender, then malignancy and other causes.

If the fever is long drawn, over 2 weeks,

Then investigate fully. The seriousness od prolonged fevers is often not realized, if the fever is off and on.

Ask for: Hb% WBC, ESR, Peripheral smear for M.P (during chills) and leukemia,

Utine-routine and culture.

Widal test.

HIV test.

Anti TB Antigen test.

Brucella Test.

X-ray chest.

Ultrasonography or Liver and abdomen.

Lymph node biopsy if Lymph nodes are palpable.

Blood culture. If no source is detected.

Remember, simple ciral fevers do not require antibiotics.

If fever does not reduce within 3-4 days of empirical treatment, investigate in details or consult a Physician.

Antibiotics used for common fever.

Short Fever: Ampicliln, Amoxycilin, Tetrecyclins, Septran, Chloro-mycetin, Bacilox, Erythromycin.

High Continuous fever: Ciplox, Pelox or Ofloxacin (Quinolones) CEphalosporins, Aminoglycides.

Cap. Amoxycilin

Cap. Pelox

Tab. Wikoryl 1 tds.

Supressa 2 tsp tds.