স্পেশাল বিসিএস (স্বাস্থ্য) - লং কোর্স

If the fever fluctuates > 2ºC (3ºF) but does not touch the baseline, it is called remittent.
This is found in any pyogenic infection (pyogenic liver abscess, acute bronchopneumonia, acute tonsillitis, septicemia, acute pyelonephritis), lymphoma.

• Fever with chill and rigor—acute pyelonephritis, acute cholangitis, subacute bacterial endocarditis, subphrenic abscess, pyogenic lung abscess, septicemia, lobar pneumonia, pyrogenic reaction after infusion or transfusion.
• Fever with chill and rigor that subsides with sweating—malaria.

Fever with skin rash (according to the day of appearance of rash)—Remember: “Very sick person must take double eggs.”
 1st day—Varicella (chicken pox)
 2nd day—Scarlet fever
 3rd day—Pox (small pox)
 4th day—Measles, German measles (rubella)
 5th day—Typhus
 6th day—Dengue
 7th day—Enteric fever (rose spot)
 Drug rash may appear anytime.

Tongue:
 Pale – anemia
 Yellow – jaundice
 Bluish – central cyanosis
 Black (Lingua Nigra) – Bismuth poisoning
 Dry – dehydration
 Coated tongue- Enteric fever

Nail:
 Pale – anemia
 Bluish – cyanosis
 Brittle – koilonychia (Due to IDA)
 Leukonychia – CLD, NS, PEM
 Splinter hemorrhage – sub acute bacterial endocarditis
 Mees line – arsenic poisoning
 Onycholysis – psoriasis

 Freezing
   Frostbite
 Non freezing
   Trench foot
   Immersion foot
   Chilblains