Integrated management of neonatal and childhood illness

42 To classify Pawan's fever, the doctor looked at the table for classifying fever when there is a High Malaria Risk. a. He checked to see if Pawan had any of the signs in the pink row. He thought, Does Pawan have any general danger signs No, he does not. Does Pawan have a stiff neck No, he does not. Pawan does not have any signs of VERY SEVERE FEBRILE DISEASE" b. Next, the doctor looked at the yellow row. He thought, " Pawan has a fever. His temperature measures 37.5
o
C. He also has a history of fever because his mother says Pawan felt hot for 2 days. He classified Pawan as having MALARIA" c. Because Pawan had a generalized rash and red eyes, Pawan has signs suggesting measles. To classify Pawan 's measles, the doctor looked at the classification table for classifying measles. d. He checked to see if Pawan had any of the signs in the pink row. He thought,
" Pawan does not have any general danger signs. The child does not have clouding of the cornea. There are no deep or extensive mouth ulcers. Pawan does not have SEVERE COMPLICATED MEASLES" e.
Next the doctor looked at the yellow row. He thought, "Does
Pawan have any signs in the yellow row He does not have pus draining from the eye. There are no mouth ulcers. Pawan does not have MEASLES WITH EYE OR MOUTH COMPLICATIONS" f.
Finally the doctor looked at the green row. Pawan has measles, but he has no signs in the pink or yellow row. The doctor classified
Pawan as having MEASLES.



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Any general danger signor Stiff neck or
• Bulging fontanelle.

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