Integrated management of neonatal and childhood illness

ASK: Does the child have fever?

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module 5

ASK: Does the child have fever? Check to see if the child has a history of fever, feels hot or has a temperature of Cor above. The child has a history of fever if the child has had any fever with this illness. Use words for "fever" that the mother understands. Make sure the mother understands what fever is. For example, ask the mother if the child's body has felt hot. Feel the child's abdomen or axilla and determine if the child feels hot. Look to see if the child's temperature was measured today and recorded on the child's chart. If the child has a temperature of Cor above, the child has fever. If the child's temperature has not been measured, and you have a thermometer, measure the child's temperature.
IF YES:

Decide Malaria Risk High Low Make a smear/perform RDT
THEN ASK
LOOK AND FEEL
•
Fever for how long
• Look or feel for stiff neck. If more than 7 days, has fever
• Look and feel for bulging been present everyday fontanelle.
• Has the child had measles
• Look for runny nose. within the last 3 months Look for signs of MEASLES Generalized rash and One of these cough, runny nose or red eyes.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
If the child has measles
• Look for mouth ulcers.
now or within the last 3 Are they deep and
months: extensive

• Look for pus draining from the eye.
• Look for clouding of the cornea.

If the child does not have fever (by history, feels hot or temperature Cor above, tick
(_ ) NO on the Recording Form. Ask about the next main symptom, ear problem. Do not assess the child for signs related to fever. If the child has fever (by history, feels hot or temperature Cor above, assess the child for additional signs related to fever. Assess the child's fever even if the child does not have a temperature of Cor above or does not feel hot now. History of fever is enough to assess the child for fever.

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