A young male aged 18 yrs presented with complaints of pain abdomen and generalised weakness since a month....No h/o constipation, loose stools or bleeding was present...Stool FOBT was negative but he was having sevwre pallor....Comment on the approach to this patient....
Its a case of pleural effusion.
Dengue
Looks like infective etiology.....x Ray shows pleural effusion tap an see...Specifically look for ADA levels and also to look for fluid cholesterol
Issues Pleural effusion + Ascites + lymoahdenopathy + Raised create Infective etiology involving multiple systems most likely eg disseminated kochs.. I would suggest Pleural and ascitic fluid diagnostic tapping , rule out exudative vs transudative fluid....do ADA, LEH ,protein and sugars... Also Do urine routine for proteinuria..other possibility of nephrotic syndrome...
CKD PTB ?
PLEURAL EFFUSION
Pleural effusion Chronic kidney disease R/o disseminated koch
Enteric fever
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
Cases that would interest you
- Login to View the image
9years child regular 15days Fever,Nesia-Vomiting & abdomen mild pain...? Digonisis and Management please..?
Dr. Manoj Kumar8 Likes29 Answers - Login to View the image
15 yr male pt suffering from swelling over face n leg...n pitting type of edema present plz Tel me diagnosis n treatment
Dr. Bhaskar Pawar65 Likes303 Answers - Login to View the image
30yrs male c/o fever with chills on and off since 1mnth..c/o heaviness of head..no h /o cough/vomitings/loose stools/burning micturition..nonalcoholic nonsmoker..no h/o bleeding through any sites.vitals stable..PBS and Sr.vitamin B12 levels pending..start emipirical iv antibiotics along with udiliv..management?
Dr. Rakesh Raghavendran5 Likes16 Answers - Login to View the image
13 yrs old came to hospital with c/o fever since 2 weeks cough with sputum since 2 wks icterus since 2 wks huge hepatosplenomegaly rt sided pleural effusion on cxr ascites on usg no previous history of blood transfusion no family history of the, viral hepatitis immunisation not complete invg sent - hep b, hep c, hiv , CBC , scrub , malaria .. anything else to be done.. plz suggest diagnosis and invg and treatment
Dr. Vikas Kaushik3 Likes11 Answers - Login to View the image
30 yr old male c/O shortness of breath ,vertigo, ghabharat, pain abdomen . h/O fever since 10 days diagnosis and treatment
Dr. Vivek Asthana1 Like6 Answers
6 Likes