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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatigue, Fever And Joints Pain

Am 65 yo female with 5 days intermittent myalgia (mainly calves) fatigue and fever up to 102.6 two days ago. No rash or joint pain or insect bites that I know of except usual mosquito bites. Last 3 days including today temp okay in am but rises in eve.
Mon, 26 Sep 2016
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General & Family Physician 's  Response
Fever is a symptom of an underlying disease. There are many causes of fever such as malaria, typhoid, infectious mononucleosis, TB, Dengue etc. paracetamol is an anti – pyretic and it brings down fever.
Advice
1.     Azithromycin 500 mg daily per oral for 3 days
2.     Paracetamol 500 mg per oral if fever occurs
3.     Cold water sponging if fever is more than 100 degree Farenheight
4.     Investigations – CBC, ESR, Widal test, blood smear for malarial parasite, dengue NS1 antigen, test for chikungunya
Consult a doctor with reports if fever is not relieved by above measures.
Thanks
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Suggest Treatment For Fatigue, Fever And Joints Pain

Fever is a symptom of an underlying disease. There are many causes of fever such as malaria, typhoid, infectious mononucleosis, TB, Dengue etc. paracetamol is an anti – pyretic and it brings down fever. Advice 1. Azithromycin 500 mg daily per oral for 3 days 2. Paracetamol 500 mg per oral if fever occurs 3. Cold water sponging if fever is more than 100 degree Farenheight 4. Investigations – CBC, ESR, Widal test, blood smear for malarial parasite, dengue NS1 antigen, test for chikungunya Consult a doctor with reports if fever is not relieved by above measures. Thanks