Signs Suggestive Of Diseases
| Symptoms and signs in conjunction with fever | |
| Meningococcal disease | · Non-blanching rash · ill-looking child · capillary refill time of ? 3 seconds · neck stiffness |
| Meningitis | · Neck stiffness · Bulging fontanelle · Decreased level of consciousness · Convulsive status epilepticus |
| Herpes simplex encephalitis | · Focal neurological signs · Focal seizures · Decreased level of consciousness |
| Pneumonia | · Tachypnoea · (RR > 60 breaths per minute age 0–5 months, · RR > 50 breaths per minute age 6–12 months; · RR > 40 breaths per minute age > 12 months) · Crackles · Nasal flaring · Chest indrawing · Cyanosis · Oxygen saturation ? 95% |
| Urinary tract infection | · Vomiting · Poor feeding · Lethargy · Irritability · Abdominal pain or tenderness · Urinary frequency or dysuria |
| Septic Arthritis | · Swelling of a limb or joint · Not using an extremity · Non-weight bearing |
|
Kawasaki disease |
· Fever for more than 5 days and at least four of the following: · bilateral conjunctival injection · change in mucous membranes · change in the extremities · polymorphous rash · cervical lymphadenopathy |