Integrated management of neonatal and childhood illness

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EXERCISE H
In this photograph exercise, you will practice identifying eye complications of measles.
Part 1: Study photographs 57 through 59. Photograph 57: This is a normal eye showing the iris, pupil, conjunctiva and cornea. The child has been crying. There is no pus draining from the eye. Photograph 58: This child has pus draining from the eye. Photograph 59: This child has clouding of the cornea.


Part 2: Now look at photographs 60 through 66. For each photograph, answer each question by writing "yes" or "no" in each column. If you cannot decide if pus is draining from the eye or if clouding of the cornea is present, write "notable to decide"

Does the child have:
Pus draining from the
eye?
Clouding of
the cornea?
Photograph Photograph Photograph Photograph Photograph Photograph Photograph Tell your facilitator when you are ready to discuss your answers to this exercise.

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5.2 CLASSIFY FEVER
If the child has fever and no signs of measles, classify the child for fever only. If the child has signs of both fever and measles, classify the child for fever and for measles. There are two fever classification tables on the ASSESS & CLASSIFY chart. One is for classifying fever when the risk of malaria is high. The other is for classifying fever when the risk of malaria is low. To classify fever, you must know if the malaria risk is high or low. Then you select the appropriate classification table.

HIGH MALARIA RISK:
There are two possible classifications of fever when the malaria risk is high. VERY SEVERE FEBRILE DISEASE MALARIA
VERY SEVERE FEBRILE DISEASE (High Malaria Risk) If the child with fever has any general danger sign, bulging fontanelle or a stiff neck, classify the child as having VERY SEVERE FEBRILE DISEASE.
Treatment A child with fever and any general danger signor stiff neck may have meningitis, severe malaria (including cerebral malaria) or sepsis. It is not possible to distinguish between these severe diseases without laboratory tests. A child classified as having VERY SEVERE FEBRILE DISEASE needs urgent treatment and referral. Before referring urgently, you will give several treatments for the possible severe diseases. Any general danger signor Stiff neck or Bulging fontanelle.

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