A 9 yrs of Child...with his Usg report..In Usg report has Hepatomegaly ang Huge Spelnomegaly..plz tell ur valuable opinion about treatment procedure

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DD 1 . Chronic malaria. 2.Kala Azar 3.Kwashiorkor 4.EHPVO 5.Glycogen storage disease

Chronic malaria is not appropriate recurrent malaria occurs along with hyperimmune tropical splenomegaly syndrome. Chronic malaria per se does not exist
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Causes are cml , kala azar, malaria, spherocytosis. And so on. By the findings splenomegaly rather than hepatosplenomegaly indicates kala azar. Get CBC, aldehyde test done. Also liver profile with optimal tests for malaria. If feasible bone marrow biopsy is better option. Plus upload history of the child and his zone of residence as kala azar is common in Bihar, wb and Orissa with pkdl being common in the latter two

Rule out the h/o portal Hypertension H/o chronic malaria

CIRRHOSIS OF LIVER NCPF( NONCIRRHOTIC PORTAL FIBROSIS ) EHPO (EXTRA HEPATIC PORTAL OBSTN) O/ E ABDOMEN DISTENDED FLANKS FULL UMBILLICUS EVERTED VEINOUS PROMINENCE.ABD WALL RX AFTER DIAGNOSIS IS ESTABLISHED 1 LFT CBC UGI ENDOSCOPY DOPPLER ULTRASOUND PORTAL VEINS

I would go for chronic malaria and Kala azar

Hepatosplenomegaly Find out cause Cbc mp lft widal Sos splenic biopsy HP Glycogen storage disease

Kwashiorkar. The Usc should have picked up if there is a EHPvO. Serum proteins . Ct abd.exclude a malarial spleen

Chronic malaria kalazar EHPVO adv: CBC with peripheral smear Hepatobilliary Doppler Study

Only hepatosplenomegaly may be infective cause parasitic, storage disease Budd charity syndrome.

Good evening sir.. Can you please upload reports of peripheral smear or CBP findings

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