a 12 yr girl come with fever on&off since last 10 days. complaint of abdomen pain and weaknesses. o/e liver and spleen enlarge, paller, febrile...plz suggest TT and cause of incre. plt. count

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IT'S THE CASE OF ---1-ANAEMIA WITH THROMBOCYTOSIS, ,2-PLASMODIUM VIVAX AND FALCIPARUM, ,3--ENTERIC FEVER, ,PLAN OF ACTION --URGENT ADMISSION, ,IV MONOCEF 1GM BID, ,IV FALCIGO 120 MG OD FR 5 DAYS, ,INJ FEBRINIL 2 CC IM STAT AND SOS, ,TB CALPOL 500 MG 8 HOURLY, ,IV PAN 40 MG BID, ,IV EMSET 4 MG TDS, ,IV OROFER -S IN 100 ML NS SLOWLY FR 2-3 HRS ON A/L DAY, ,PCV BLOOD TRANSFUSION 1 UNIT, ,T /BP /HR /IO /AG CHARTING, ,LOTS OF ORAL FLUIDS, ,SOFT DIET, ;COCONUT WATER, ,IV FLUIDS WITH M. V.I, ,

thank u doctor
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watch FR thrombocytopenia and it's complication, ,if no active bleeding or rashes then ct same rx, ,if platelet goes below 10000 then FFP TRANSFUSION, ,CAREFUL ICU MONITORING REQIRED, ,

sir report showing 20 thousand platelets or 20 lacs platelets..?
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Take opinion from General Practitioner..... treat according to findings... just add Punarnava Mandoor 1 tab BD Yakrita Pleehodari Loha 1 tab BD Amritarishta 10ml TID along with modern medicine as Dr. Vijay Kumar Bagale explained.....

thanx
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ur report itself shows malaria positive....treat with cgloroquine

thanks doc ...but tell me what to do for platlet count I.e. 20000+
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Malaria, advised chloroquine.

Chandraprabha vati Punarnavavadi mandoor giloy kadha Sudarshan ghan vati Jwarnashak vati Pomegranate, alovera, papaya, wheat grass, giloy ras include daily

inj falcigo 120mg od for 5days. pcm thrice . inj piptaz tid do anaemia profile nd rpt cbp in other lab ... reconfirm by pathologist report

who latest guidlines 7 to 10 days now
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प्रिय मित्रों आप निवेदन है।कि आप जो भी प्रश्न करें वे देवनागरी लिपि में लिखकर करें परामर्श करने में सुविधाजनक होता है।

hospitalized the patient give tab lumirax bd for 3 days inj ceftriaxone for 7 days then tab cefexime for 7 days discharge on oral multivitamin and iron supplement..

ink falcigo o.2mg*/kg dose should give and now its 7days falcigo rx latest who guidelines

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