Concluded Case

22 male h/o fever 2 days mild icterus positive bile pigment and salt positive in urine sgpt 2134 clay colour stool... management???

2 Likes

LikeAnswersShare
Concluded answer

Viral hepatitis Kindly run serology for HAV,HEV,HBsAg,HCV Perform USG abdomen Must be associated with HEPATOSPLEENOMEGALY... If it is HAV OR HEV... Symptomatic treatment is required.... With rehydration therapy... B-complex with zinc and vitC supplements Normal soft diet.... N follow ups

All Answers

Thank you Dr Mohammed Arif for tagging me. This is a case of Acute viral hepatitis. You didn't give the values of Serum total bilirubin, direct and indirect bilirubin. Any history of previous viral fevers?? Any history of alcohol intake?? Any history of drugs that cause jaundice like Rifampicin, etc?? Any previous history of abdominal colic in right hypochondrium radiating to shoulder or back to r/ o cholelithiasis.?? Rule out Diabetes. History of travel or intake of food from outside . History of any recent blood transfusion or injection with unsterilised syringe or shared syringe from a hepatitis patient unknowingly. Investigations CBP LFT Blood sugars Viral serology to exclude Hepatitis A,B,C and E. Bleeding time and clotting time as routine. MP and widal are negative in this case to exclude hemolytic jaundice. USG abdomen to rule out Hepatomegaly/ Hepatocellular carcinoma. Gall bladder etiology like calculi obstructing the common bile duct. Any pancreatic pathology. Coming to the treatment part, Identify the etiology, and treat it. The Great Guruji of Curofy, Dr Dinesh Chandra Sharma, (Papa) sir explained in detail, Pranamams Papa. We are blessed to have you in Curofy. Once again thanks to Dr Mohammed Arif for tagging me.

Wonderful schematic approach
0

Hepetitis..may be viral or infective. Activity - Many people with hepatitis prefer bed rest, though it is not necessary to avoid all physical activity while recovering. Diet -A high-calorie diet is recommended.Many people develop nausea and cannot tolerate food later in the day, so the bulk of intake may be concentrated in the earlier part of the day.In the acute phase of the disease, intravenous feeding may be needed if patients cannot tolerate food and have poor oral intake subsequent to nausea and vomiting. Drugs - People with hepatitis should avoid taking drugs metabolized by the liver.Glucocorticoids are not recommended as a treatment option for acute viral hepatitis and may even cause harm, such as development of chronic hepatitis Precautions - Universal precautions should be observed. Isolation is usually not needed, except in cases of hepatitis A and E who have fecal incontinence, and in cases of hepatitis B and C who have uncontrolled bleeding.

Thank you doctor
0

View 1 other reply

stool is clay-colored may have a problem with the drainage of biliary system, which is comprised of gallbladder, liver, and pancreas. C/0 fever since days. SGpt 2134. Probably of Viral Hepatitis. Sorry for that "Dr. Mohd Arif Sir" I m in dought This report is Valid. I think repeat The investigations if Patient be Efforderd. USG w/abd. LFT,HBsAg Mp/Widal SOS. Urine exam. Mean while treat with Udiliv 150/300 bd. Pantakind bd Mahaceff 200 mg bd. Calpol 500 mg Sos Fluid w'll be much better.

Tnx "Dr.Dinesh Gupta Sir"
0

Low MCV. The�MCV�will be lower than normal when red blood cells are too small. This condition is called microcytic anemia. Microcytic anemia may be caused by: iron deficiency, which can be caused by poor dietary intake of iron, menstrual bleeding, or gastrointestinal bleeding. best is to gv abhrak bhasam + giloya satva -same matra -250mg twice daily with honey. lohasava twice daily after meals

Acute hepatitis. Get a viral maker done along with markers for hepatitis A and E Usg whole abdomen And a full LFT done and PT INR done Treat conservatively and give dextrose.

Thank you doctor
0

Chr. Hepatitis Cholelithiasis Hepatitis B Iron deficiency

Infective hepatitis

Management?
0

HEPATITIS.

Viral hepatitis Kindly run serology for HAV,HEV,HBsAg,HCV Perform USG abdomen Must be associated with HEPATOSPLEENOMEGALY... If it is HAV OR HEV... Symptomatic treatment is required.... With rehydration therapy... B-complex with zinc and vitC supplements Normal soft diet.... N follow ups

Suggest. Urine C/S. usg abd & Pelvic. Inj. Monocef. 1 gm. Iv. Inj. Amikacin 250 mg. Iv bd. Tab. Dolo 650. Tid.

Load more answers

Cases that would interest you