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3 yrs F cough cold fever since 5 days reports attached Dengu test is - ve Plz Dx n Rx

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Diagnosis: viral Fever with secondary infection Probably RTI Rull our dengue by doing Elisa as screening comes normal Investigation: x ray chest , repeat CBC , IPF T/t : antibiotics Antitussive Fluids orally if require IV See for Rash Peteche Bleeding from any site If require SDP

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IT'S A..CASE OF.. BABY WITH.. PYREXIA ..URTI..WITH.. LEUKOCYTOSIS..& THROMBOCYTOPENIA..PLT..30000 .. ? VIRAL FEVER.. ? DENGUE FEVER.. NEED'S.. HOSPITALIZATION..& .. FURTHER INVESTIGATIONS .. EXPERTS OPINION..

Tnx &wc Dr Ram Golde
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Respected Sir Rule out Dengue fever urgently Platelate count only 30,000. Meanwhile intake plenty more liquid. Adv:-IV fluid If needed. Cefixim-AZ syp.for 3 days. Cough syp According to C/0. Maxtra-plus syp. Papaya syp.

Dengue is -ve
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Adv for xray chest to r/o viral pneumonitis Pt has leucocytosis likely secondary bacterial infection Keep on iv inj Ceftriaxozone doses age age and wt Monitor vitals

Thanx dr Ram Golde
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Diagnosis: viral Fever with secondary infection Probably RTI Rull our dengue by doing Elisa as screening comes normal Investigation: x ray chest , repeat CBC , IPF T/t : antibiotics Antitussive Fluids orally if require IV See for Rash Peteche Bleeding from any site If require SDP

Viral fever with thrombocytopenia / RTI.. Admit, start with IV fluids, inj.ceftriaxone iv, syrup thrombobliss, antipyretics, antitussive, Monitor platelets PCV, & other signs of thrombocytopenia..

D/D - ITP
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Except Thrombocytopenia, & < PCV all reports normal. Follow platelet &PCV daily or A/D Cough &fever ...5 days, adv.CXR, RxAmoxyclsv 30 mg/kg/Day....7 days + antipyretic + antitussive agent

Thanks dr.Sabista naaz
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Repeat platelet count DAILY Dengue PCR LEUCOCYTOSIS = Bacterial infection Send cough for c & s Rx gurgle with lukewarm water ..steam inhalation Hot drinks ( tea / coffe ) Lukewarm water if cough Paracitamol Watch platelet count any bleeding anywhere AMOXYCILLIN CLAVULNATE = AFTER SENDING SPTUM FOR C &S SINGLE DONAR PLATELET TRANSFUSION SOS

Thrombocytopenia kindly help establish the cause for ow platelets? You may use -- tapyadi lauh + lauh bhasma + shankh bhasma + sarivadyarishtha + rice bran + giloy to stimulate haemopoesis and also sustain on immunity

IF DENGUE IS NEGATIVE ITS VIRAL FEVER. SDP might be required.

Dengue fever.admit patient to hospital as platelet count is below

Sir dengue is - ve
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