Clinical clues in solving the diagnosis of fever.
1. Toxic look: high pyrexia, enteric fever, typhus (Fig. 2.103), septicaemia.
2. Marked sweating: Septicaemia (Fig. 2.104), rheumatic fever, amoebic liver abscess.
3. Petechiae or purpuric eruptions: Acute leukaemias, meningococcaemia, Rocky
Mountain spotted fever, septicaemia.
4. Severe myalgia: Influenza, dengue, chikungunya, leptospirosis, or any viral illness.
5. Lymphadenopathy: Tuberculosis, lymphoma, leukaemia, secondary syphilis, SLE,
AIDS.
6. Hepatosplenomegaly: Malaria, kala-azar, miliary tuberculosis, SLE, leukaemias or
lymphomas, Still’s disease, brucellosis.
7. Convulsions: Febile (in children), meningoencephalitis, tuberculoma, cerebral abscess.
8. Pustular lesions in skin: Gonococcaemia, staphylococcal sepsis.
9. Scalp tenderness or jaw claudication: Giant cell arteritis (or, temporal arteritis).
10. Choroidal tubercle on fundoscopy: Miliary tuberculosis.
1. Toxic look: high pyrexia, enteric fever, typhus (Fig. 2.103), septicaemia.
2. Marked sweating: Septicaemia (Fig. 2.104), rheumatic fever, amoebic liver abscess.
3. Petechiae or purpuric eruptions: Acute leukaemias, meningococcaemia, Rocky
Mountain spotted fever, septicaemia.
4. Severe myalgia: Influenza, dengue, chikungunya, leptospirosis, or any viral illness.
5. Lymphadenopathy: Tuberculosis, lymphoma, leukaemia, secondary syphilis, SLE,
AIDS.
6. Hepatosplenomegaly: Malaria, kala-azar, miliary tuberculosis, SLE, leukaemias or
lymphomas, Still’s disease, brucellosis.
7. Convulsions: Febile (in children), meningoencephalitis, tuberculoma, cerebral abscess.
8. Pustular lesions in skin: Gonococcaemia, staphylococcal sepsis.
9. Scalp tenderness or jaw claudication: Giant cell arteritis (or, temporal arteritis).
10. Choroidal tubercle on fundoscopy: Miliary tuberculosis.