Abdominal pain And tenderness

Male pt of age 45 comes in opd Chief Complaints Abdominal pain Fever History History of chronic alcohol drinking History of taking medication for same since 5 days but not relief. Vitals Bp:110/60 Pulse:65 Temp:101 Physical Examination Abdominal tenderness present Mild pitting edema over right leg Investigations Cbc: Hb:10.2 TLC:22200 Esr:50 Lymphocyte:10 Neutrophil:84 Lft:Bili:1.6 Sgot;94 Sgpt:115 Usg: Pus filled in right lobe and left lobe of liver Measuring : 20 cc to 150 cc Mild ascitis. Dated 01/03/2021 Diagnosis Liver abcess with mild ascitis Management I give Inj metrogyl infusion 500 mg +500 mg twice a day Inj monocef 1g bd Inj pan Inj emeset Tab:mefenamic acid for fever After 3 days of tt fever reduce to 99 to 100 range Abdominal pain reduce Tendernessreduced Need valuable opinion. For further treatment

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Dear Dr. Shoaib Aslam Sir, Advice for the case. Tab. Anand Bhairav Ras 1 tds.

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@Shivraj Agarwal

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