[أبـ البراء ـو]

Fever

Management:

1-Cold fomentation
2-Cold saline enema (# in diarrhea)
3-NSAIDs: - Paracetamol (R/ Cetal or PyralBrufen or Novalgen
كنت سامع من الأستقبال والحضور أن البارسيتامول مش بيشتغل إلا عند درجة حرارة 38 ) 4Aspegic: - ?? thrombocytopenia - ?? Reye $ 5- Search for the cause: sore throat, chest infection, ear infection, UTI……………

• if u don’t find a cause for fever & fever is prolonged > 2 wks >>>>>> FUO

Investigations For FUO)
1-CBC
2-ESR
3-Blood culture , urine culture , sputum analysis + ZN stain
4-Collagen markers
5-Malaria & Toxoplasmosis
6-Widal & Brucella
7- X- ray chest

UTI:
C/O: dysuria, frequency, urgency, hematuria………….
Ask for urine analysis: if pus cells > 100 / hpf (N=0 /hpf) >>>> ask for urine culture
ttt: Give the best antibiotics which is sulfa or Quinolones e.g.
-Sutrim tab. 2*2*5
-Chemotrim fort 1*2*5
-Septrin 1*2*5
ORQuinolones if there is hypersensitivity to sulfa or resistance to it
-Tarivid 200mg (ofloxacin) 1*2*5
-Oflicin 200mg (ofloxacin) 1*2*5
·if pylonephritis: IV AB is required (hospital admission)
Tonsillitis or oropharingitis:
TTT:
1- Antibiotics for 1 wk:
the best is
– penicillin e.g. Ampiclox 1*4 - 1st generation cephalosporin’s e.g. Velosef or Duricef - Sulfa e.g. Sutrim
2- Antipyretic
3- mouth wash

Otitis Media:
As above + nasal decongestant e.g. Afrin drops 1*3*7

Bronchitis:
As above +
expectorants & mucolytics e.g. Mucosol syrup 1*3
Mucophylline Bronchophene Bisolvon 1*3 Trisolven

• if pneumonia >>>>> it is indication of admission for IV AB ( penicillin & 3rd generation Cephalosporins)

Gastroentritis:
SI → C/O: Watery diarrhea (no blood, no mucous, no tenesmus)
. >>>> this is viral infection >>>> give antiseptic e.g
. streptomycin 1*3
LI → C/O: Diarrhea + blood + mucous + tenesmus + fever

Renal Colic: (loin pain radiating to the groin)
Give Glucolynamine IV >>>>> # IM (may cause abscess)
Papaverine IM >>>>>>>> # IV (cause hypotension)

* if no response give {Ca+ atropine + Buscopan + Papaverine + Brufen** كباب

*Ask for urine analysis, pelviabd. U/S

سبحان الله والحمد لله ولا إله إلا الله والله أكبر