CONDITION 05 · VISUAL STUDY

疟疾

malaria

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malaria

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01 / REMEMBER THE NAME

Remember the name

/məˈleəriə/

mal- 坏；aria- 空气（历史“坏空气”观念）

Chinese sound mnemonic

“么来啊”=“蚊子来了啊”：先寒战、再发热、后大汗。（原发音近似：么-来啊-瑞-呃）

Mnemonics support recall; use the IPA for pronunciation.

02 / CONNECT THE MECHANISM

Infected red-cell rupture → cyclic inflammatory response → fever paroxysms and hemolytic anemia.

A returning traveller has episodic chills, fever, sweating and anemia.

cyclical fever 周期热；hemolysis 溶血；splenomegaly 脾大

03 / CHECK & DISTINGUISH

Important investigations

厚薄血涂片或疟原虫快速检测，必要时重复

Distinguishing features

与其他发热疾病相比：热带旅行/疟区暴露＋血涂片检出疟原虫；热型不一定典型。

Red flags & referral

任何疟区旅行后发热须当天评估；意识障碍、低血糖、呼吸窘迫属重症疟疾急症。

FROM KNOWLEDGE TO CLINICAL REASONING

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