11/m having fever with dyspepsia and frequent urination, weigh normal 29kg.Plz suggest ...

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Pt seems to be type 1 diabetic as bsl is quite high hence polyurea Tlc is 112000 suggest sepsis Pt needs detail investigations ib respect of both indications

TLC normal
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Diabetic type 1 Needs further investigation and evaluation to conclude and treatment plan. Increased TLC indicates infection. BS antibiotics iv bd slowly as per bw. PCM SOS. Multivitamin and antioxidants orally. Diet restrictions and regular evaluation and constant monitoring required.

Thanks Dr Shivraj Agarwal
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Iron deficiency anaemia with Type 1 DM control of DM with Insulin Dewarming Haematinic Antibiotics as Polymorphleucocytosis acute infection

Juvenile diabetes To be further investigated for as platelets are low for dengue fever

1. Cap Ashwagandha 2 TDS 2. Tab Punarnava Mandur 2 BD 3. Amla Juice 20ml+20ml water BD 4. Wheat Grass Juice 30ml OD empty stomach Alongwith the abovesaid you also can advise PAPPAYA LEAF JUICE 20ml at an interval of every 2 hrs,it increases platlet count within 2-4 days.All this will help you a lot still if you want some sure short combination then you also can make a following:- a. Bhringraj 20gm b. Kasni 20gm c. Kalmegh 20gm d. Makoy 20gm e. Katuki 20gm f. Sharpunkha 20gm g. Punarnava 20gm h. Bhumi Amla 40gm Powder & Mix all the abovesaid,after kapadchaan advise 1 tsp(3gm) BD.

What about USG w/a.urine RM is normal ,CBC shows acute infections.give tb cefixime 100 mg BD,tab pcm.send blood culture and sensitivity

Dengue Juvenile diabetes Worm infestation Hematogenous diisoders

SUGGESTIVE OF D. M....1 ANAEMIA FEVER POSSIBLY .. DENGUE ..WORM. INFESTATION .. HEMATOGENOUS. DISORDERS

DM type1 ( IDDM) with anemia with infection Further investigate HBA1C

? T1 DM. Viral fever Suggest. HBA1C. FBS. PPBS. Urea. Creatinine. IV. Anti biotic Tab. Calpal 500 mg tid

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