Friday, 19 January 2018

MALARIA ,BLACK WATER MALARIA ALGID MALARIA CEREBRAL MALARIA DIAGNOSIS

MALARIA

            HIGH GRADE FEVER WITH SHIVERING SHOULD BE CONSIDERED AS MALARIA  UNTIL PROVIDE OTHERWISE

D/D

ACUTE PHARYNGITIS ACUTE TONSILS CHOLECYSTITIS CHOLANGITIS  GLOMERULLO-NEPRITIS   (UTI)  AND CERTAIN VIRAL FEVERS ARE ALSO ACCOMPANIED WITH RIGORS 
               PERIODIC FEVER  FOR EXAMPLE AFTER SECOND THIRD OR FORTH SHOULD BE CONSIDERED AS MALARIA 
            MALARIA MAY PRESENT OF THE ONE AS FOLLOWING FORMS SO IT IS THE AWARENESS OF SUCH CLINICAL PRESENTATION OF MALARIA WHICH IS VERY IMPORTANT

CEREBRAL MALARIA    

                                      HIGH GRADE FEVER ,SEVERE HEADACHE ,DROWSINESS CONVULSION OR COMA FOCAL NEUROLOGICAL SIGNS MAY BE PRESENT IN THE CERTAIN CASE 

BLACK WATER FEVER 

                                               DUE TO EXCESSIVE HEAMOLYSIS PATIENT PASSES BLACK URINE DUE TO PRESENCE OF HB IN URINE 
                                        RENAL FAILURE HEPATIC FAILURE OR PULMONARY OEDEMA MAY BE PRESENTING FEATURE IN RARE CASES 

ALGID MALARIA 

                           PATIENT MAY HAVE CHOLERA LIKE SYMPTOM SEVER VOMITING AND DIARRHOEA PATIENT GOSE INTO SHOCK DUE TO DEHYDRATION 

DIAGNOSIS 

      BLOOD EXAMINATION SHOW THE PRESENCE OF MALARIA PARASITES ANYHOW ITS ABSENCE DOSE NOT RULE OUT MALARIAL INFECTION .RAPID STICK TESTS ARE ALSO AVAILABLE



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