SWELLING WHOLE BODY

10 Y/M Swelling whole body Distension of Abdomen Cough,Fever

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DD ) Childhood cirrhosis of liver with portal hypertension 2) Sgpt is elevated and there is hepatic failure- ? Viral hepatitis 3) Congenital heart disease / valvular heart disease with CCF .Since there is fever ,consider Infective endocarditis. Need ECG, XRAY CHEST, ECHO . 4) Cough ,fever , consider PT

RFT is normal.Hb is not so low.There is hepatospleenomegaly with generalised oedema Possibilities are portal hypertension or congestive heart disease(congenital).To rule out pulmonary oedema also

Rheumaticheart disease is possibility

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