No h/o fever but patient reports chills & shivering every evening. Reports attached. USG abdomen - no significant abnormality Diagnosis & management?

13yrs boy c/o severe lower and pain in illiac region with nausea .. No tenderness Reports attached Can I give oral nd iv antibiotics or emergency surgery shld be adivised ???

11yr female c/o fever since 1week with occasional pain in abdomen,h/o constipation occasionally..Investigations done typhoid fever ruled,usg abdomen shows mild to moderate asciitis,mild hepatomegaly ..kindly discuss the case

Occasional fever. Pain upper abdomen esp after meals. Loss of appetite No significant loss of weight No h/o hematuria, malena, menorrhagia No h/o TB in patient or family Tenderness right hypochondrium Chest clear Diagnosis, further evaluation and management?

17yr female presented with epigastric pain & vomiting for 1 day. PR-90, P/A- soft, tenderness over epigastrium, RIF& LIF. Initial x ray was normal, USG revealed intestinal obstruction. 2nd x-ray was done that revealed multiple air fluid levels. no ballooning in PR. subsequent x-ray was also normal as the obstruction might have been relieved. diagnostic lap was done that revealed free fluid in pelvis and a small ruptured rt. ovarian cyst with normal appendix... discuss