49 yr feml having fever since 5 days no any othr significant history . since one day she strt shortnss f brethng ths test hs done . plz cmnt on furthr req. test n tt .

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Enteric fever with ? Denque Cefixime 200+ ofloxacine 200mg bd. Pcm 500mg bd Multivitamins and antioxidants orally. Good nutritious balanced liquid diet. Increased fluid intake and constant monitoring of platelets count and needs regular investigations.

Thanks Dr Sachin Ambure
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14- 1O - 18 BLOOD REPORT DENGUE -- VE THROMBOCYTOPENIA DATE 13 -10 -18 2 ND TEST POSSIBLY 13 10 18 NÒRMAL WBG NORMAL PLATELET COUNT WIDAL TEST ( + ) ANYONE OF THESE TESTS IS WRONG WIDAL TEST -- NONSPECIFIC ANTIBODIES ARE RAISED AFTER 7DAYS OF FEVER IF IT HAS BEEN DONE BEFORE 7 DAYS THE QUESTION OF AUTHENTICITY OF REPORT COMES RISING TITRE BECOMES IMPORTANT AS SHE HAS SOB 1 CXR TO BE DONE 2 BLOOD CRP C & S

Viral fever Tab dolo 650 sos Tab arti plus CD x 3 day Tab pan D 1bd before meal x 3days Repeat CBC If no vomiting manage orally_ intake Plenty of more water ( ORS l, juicses, coconut water, papaya juice etc) If shorting of brearhing severe then x ray chest, LFT, RFT, usg abdomen, repeat dengue IgG IgM and manage pt as per report (OPD /IPD)

Widal test to be repeated after one week.if rising titres seen then suggestive of infection.rill then should give symptomatic treatment.. apart from this should ask for any relevant history for scrub typhus as now a days fever with thrombocytopenia are seen positive for typhus. First should confirm thrombocytopenia

1) Siddh makaradhvaj Spl. 1 tab Sarv Jwar har Loh vrihat 1 tab Vishva taap haran Ras 1 tab Kamdudha Ras moti 1 tab 2) Mahasudarshan churna 5 gm b.d. 3) Amrita rishta 1 tsf b.d.p.c. 4) Panchtikt ghrit 5 gm. b.d. with mishri and gog dugdh 5) Maintain hydration

Widal positive. Treat as Enteric fever.

Widal positive requires correlation with Typhoid fever... Needs parenteral drugs.. IV fluid Ceftriaxone, Multivitamin and antacids... Others symptomatic .. Close observation on platelet count... Check LFT once....!

Widal pos.Clinicopatho correlation & blood culture is required X-ray chest, Rept CBC,LFT,PT with INR

Inj Cefrrixone 1 gm IV bd,PCM sos,PPI,Pre & Probiotics

I don't find this report authentic seeing the quality of report

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