What special investigations are usually needed?

The most important special investigations are:

  1. Urinalysis with a urine dipstick to detect urinary tract disease or diabetes. It is particularly important to test the urine in a child with fever.
  2. Haemoglobin concentration.

These are often done routinely in ill children.

Other special investigations, which are often asked for in hospital, are a full blood count (FBC), erythrocyte sedimentation rate (ESR), chest X-ray, urine and stool microscopy and culture, and Mantoux skin test. These tests may not be available in many clinics.

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