General

How to diagnose malaria in remote clinic without lab?

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26 Sep 2016 - General
 

Though it is said that malaria should be suspected in all patients suffering from fever in endemic regions but it is sometimes very distressing among young practitioners not being able to diagnose it, as most often there are no significant findings in patients suffering from fever e.g. hepatosplenomegaly.

Well as mentioned by Afaque that the fever pattern is one of the clues you look for. Highly peculiar fever is an intermittent one which usually spikes during the afternoons and evening. In the morning the fever is absent or of low grade. The associated rigors and chills is also a very common symptom, but to be sure its malaria the question concerning other foci of infection have to be asked like dysuria which will point towards UTI. The other very common symptom is severe body aches especially i...
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Afaque Ali In an area wherein there are no lab facilities and malaria is highly endemic, I would assume that physicians practicing in that region are highly skilled at diagnosing malaria through clinical observation. Although laboratory guided diagnosis is till the best. However, if there are no facilities, there are local algorithms that distinguishes the fever pattern of malaria from other illnesses. Of course...
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Well, there is a rapid diagnostic kit for malaria. It does not require the expertise of a lab technician, or any equipment. You just need to have one of the diagnostic kits, and a needle and syringe to draw blood. The kit comes with clear instructions so anyone with a bit of common sense who can raw blood can do it. The kit was actually developed for that purpose. To make diagnosing of malaria possible in rural villages where there are no access to laboratories, If you have a bit more advanced f...
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