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Can The Level of Haemoglobin Help in Differential Diagnosis of Common Fevers?
OP Kapoor
 

A lot has already been talked and written about the significance of the leucocyte and platelet counts in the diagnosis of common fevers.

Can the level of haemoglobin help in the diagnosis? Yes. In a middle or upper class society, and that too more often in a male patient, if the level of haemoglobin is low, the diagnosis is in favour of malaria, especially the falciparum type.

It is also worth noting that often, bad falciparum malaria can mimic a bad case of dengue fever. In the later, levels of haemoglobin are higher than normal due to haemoglobin concentration. This finding may be helpful in differentiating the above two illnesses.

 

BRIEF LIFESTYLE INTERVENTIONS DO NOT REDUCE BLOOD PRESSURE

In patients with a single high blood pressure reading, simple strategies to modify lifestyle have no effect on the control of blood pressure. Little and colleagues randomised 296 patients with a single high reading to combinations of simple interventions - an information booklet, lifestyle prompts, and advice to use a low sodium-high potassium salt - or standard care. The interventions did not modify blood pressure but they did prompt patients to change their diet, which may be important in the overall management of blood pressure.

BMJ, 2004; 328 : 1054.