Doctor, I am having fever with chills since 4 days.

Severe chills? Is it Malaria?

-          Does it come everyday or on alternate day? “On alternate days.”

-          Does it come at the same time everyday?

“Yes.”

-          Is it accociated with headache? “Yes.”

 (This is probably Malaria. But let me rule out UTI, and abcess)

-          Do you get burning micturition? “No”

-          Do you have painful swelling anywhere? Over buttocks or loin? “No”

Look at the sclera, tongue, throat & cefvical nodes a usual.

Palpate the abdomen carefully, for spleen and Liver. (Splenomegaly is strongly I favor of Malaria)

Auscultate the chest carefully Pneumonia.

Palpate inguinal lymph nodes, and look for edema of legs (For filariasis) and for any focus of infection & abscess.