Concluded Case

SPLENOMEGALY

A 32 years old female patient, complaining with severe pain abdo č nausea č vomiting. O/E BP 90/ 60 mmHg Pulse 100bpm Chest B/L clear Abdo. distended Others NAD Investigation CBC LFT RFT Serum amylase Serum amylase WIDAL PPI Anafortan Diclofenac Metrogyl Periset Xone given Plz suggest further management....

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Concluded answer

? VAGUE ABDOMINAL PAIN .. ? ENTERITIS.. NEED'S.. ANTISPASMOTICS.. BS..ANTIBIOTICS.. PPI .. PROBIOTICS.. DEWORMING WITH ALBENDAZOLE.. RIFAMAX.. DYNAPAR INFECTION..SOS..

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Homogeneous splenomegaly of acute onset with distended abdomen and relevant symptoms suggest D/d 1 acute splenic infarct 2 MALARIA 3 kala azar Pt is having hypotension likely secondary to hypovolemic shock due to splenic infarct Adv ct abdomen

Thanx dr Kute Ankush
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? VAGUE ABDOMINAL PAIN .. ? ENTERITIS.. NEED'S.. ANTISPASMOTICS.. BS..ANTIBIOTICS.. PPI .. PROBIOTICS.. DEWORMING WITH ALBENDAZOLE.. RIFAMAX.. DYNAPAR INFECTION..SOS..

Tnx Dr Shivraj Agarwal sir
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Get endoscopy done,possibility of peptic ulcer Xray abdomen for enteric perforation, intestinal obstruction to be done

Thanks Dr. Maqsud Ansari, Dr. Pushker Bhomia
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Splenomegaly Not cause of pain Deworming Antiamoebic Probiotics Norflox Colimex Tab Ativan 1 mg bd

Tnx Dr Maqusud Ansari
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ayurveda cure slaught AS THE CONDITION IS PATHETIC WE SHALL TRY TO ADD LIFE TO YEARS.WE NEED TO CONCENTRATE MAINLY ON VATA DOSHA AND THEN ON PITTA. PLAN MATRAVASTI WITH ASWAGANDHA 50ML + MAHANARAYANA TAILAM 50ML FOR A CONSIDERABLE LENGTH OF TIME. ADVISE AMRITHAPRASHAGHRITA 10GM, BID, WITH MILK, BEFORE FOOD.

Cholestridium carddus m

Ppi , antiemtic, ivf, anti sposmotic, Antibiotics, straight Xray abdomen

CT abdomen Blood culture if fever present Serum electrolytes Antibiotics IVF Antiemetics PPI