19 yr old female pt. comes with evening time severe nausea for 20 day then it get relieved itself after 20 days..pt also gives history of cough and fever for 7 days ..pt also gives history of pain abdomen at different locations mild in intensity..pt also gives history of weight loss...no history of blood in stools or malena ...on examination pallor is present ..abdomen examination is normal.. on USG inflammed terminal ileum is seen ..report is enclosed within
enteric fever
evaluate for tuberculosis. abdominal.advise haemogram,chest x-ray,and cect .
possibility of abdominal tuberculosis .Do colonoscopic biopsy
abdominal tuberculosis l
CECT abdomen to confirm usg findings..no mention about appendix in US, colonoscopy -biopsy ..IBD or ileocaecal TB can be ruled out..
it could be tuberculosis // Chron's ileitis
In some viral or bacterial infection upper respiratory tract infection mesenteric lymph node are inflammed.They also subside with upperrespiratoryinfection subsides
enteric fever
It can be chron's. A colonoscopy can rule this out. Though no mesenteric lymph nodes are enlarged a C.T can also be done to rule out mesentric adenitis as the symptoms also suggests of kochs abdomen
X ray chest, ESR, CBC,Widal, LFT required to make diagnosis. Also want to know whether patient has any diarrhoea
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