Concluded Case

1month female slight discharge for last 7 days...applying mupirocin once a day....still not relieved..can topical metronidazole Be added ....please give treatment

(Edited)

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Concluded answer
Most probably umbilical granuloma if the child is otherwise fine . treatment with copper sulphate cautery. If fever or other symptoms + , then maybe omphalitis . Then send swab soaked in the discharge for culture.
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Omphalitis . Give amoxicillin clavulanic acid . T bact ointment for local application . Usg to r/o patent urachus persistent vitello intestinal duct if symptoms persists .
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Most probably umbilical granuloma if the child is otherwise fine . treatment with copper sulphate cautery. If fever or other symptoms + , then maybe omphalitis . Then send swab soaked in the discharge for culture.
Thank you doctor
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Omphalitis Rx. 1. Cephalexin 50mg / kg in three divided doses for 10days. 2. Topical mupirocin application twice a day for 10 days
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Omphalitis... UMBILICAL GRANULOMA ANTIBIOTICS ANALGESICS ANTIHISTAMINES
Its omphalitis.....cause is gram negative ..e coli... gram positive staph strepto....anaerobic bact........so rx should include briad spectrum cover with anaerobic action.....rx best would b cedon.drops....syp ibugesic acc to wt....plus metrogyl gel plus silverex gel......u
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Granuloma is seen in umbilicus that is oozing yes it omphalitis you should describe the discharge is it esrsanginous or mucopurulent you send it for smear and for c&s keep clean umbilicus and treat as sepsis
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Please do the usg abdomen and try to find out any intra abdominal connection .if there is any polyp or remnant vitelointestinal duct or uracus
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IT'S A CASE OF.. * UMBILICAL GRANULOMA.. * OMPHALITIS.. * URACHAL CYST.. BETTER TO EVALUATE WITH .. USG STUDY..
WC &Tnx a lot Dr Anken Sengupta
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Umblical granuloma. Do surgical spiri t cleaning and sprinkle 4_5 granules of common salt. Twice for awk.
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DD OMPHILITIS UMBILICAL GRANULOMA Fusigen cream Syp augmentin dua ATAREX DROP
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