Questions and Answers
What is a characteristic symptom of typhoid fever in the first week?
Vague abdominal pain
When does mild hepato-splenomegaly typically occur in typhoid fever patients?
Between the 7th-10th day of illness
What characterizes the 'typhoid state' in the third week of illness?
Prolonged apathy and toxaemia
What is a rare complication of typhoid fever?
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What percentage of patients may become gall-bladder carriers after a clinical attack?
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Study Notes
Typhoid Fever Symptoms and Complications
- In the first week, a characteristic symptom of typhoid fever is a gradual onset of fever, often accompanied by a headache, fatigue, and muscle pain.
Hepato-Splenomegaly
- Mild hepato-splenomegaly typically occurs in typhoid fever patients during the second week of illness.
The 'Typhoid State'
- In the third week of illness, the 'typhoid state' is characterized by a sustained high fever, coated tongue, and delirium.
Complications
- A rare complication of typhoid fever is intestinal perforation or hemorrhage.
Gall-Bladder Carriers
- Around 2-5% of patients may become gall-bladder carriers after a clinical attack of typhoid fever.
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