11yr boy C/o abdominal pain , vomiting, black stool

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IT'S A..CASE OF.. ? ENTEROCOLITIS .. DYSENTERY.. ? INTUSUSCPTION.. ? GI ..BLEEDING .. NEED'S..CLINICOPATHOLOGICAL EVALUATION WITH.. * CTCE STUDY.. * STOOL EXAMINATION.. * STOOL C AND S EXAMINATION..

Tnx Dr Vipin Bihari Jain
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Abdominal pain ,vomiting and malena in a 11 year old boy . Abdominal ultrasound shows enterocolitis and medical renal disease ( hyperechogenicity of renal cortex) DD Henoch Shonlein Purpura Enterocolitis , with sepsis, intussusception, polyposis

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Black stools Usg suggest enterocolitis Likely a c/o bacillary dysentery Send stool for routine and c&s Treat iv antibiotics like amikamicin Inj meteronidazole And rest of supportive treatment

Thanx dr Kute Ankush
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USG shows enterocolitis NPM Ryles suction IV Fluid Inj Metronidazole 10mg/kg 8 hourly Inj Amikacin 15mg/kg/day in 2 divided doses Inj Ondansetron 4mg iv bd Inj Drotavarin 40mg im bd After patient is stable CBC, Electrolytes, Upper GI endoscopy, Colonoscopy Stool for RE with OBT Treat as per reports

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USG finding enterocolitis which nothing but a bacterial infection manifested by loose stool mixed with blood or black tarry stool mixed with mucous Need clinically evaluation by CT abdomen Stool for examination and culture and sensitivity

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Look for occult blood in stool. Treat it as a case of enterocolitis give tab lcin oz Probiotics tab drotin for pain ondasetron for emails.

Intussusception Enterocolitid Henoch shonlein purpura Adv colonoscopy

May be bleeding below ligment of Trieyz

SUGGESTIVE of ENTEROCOLITIS ADVISABLE... SYMPTOMATIC. TREATMENT COLONOSCOPY........IF. REQUIRED CULTURE. AND. SENSITIVITY

Henoch Shonlein Purpura

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