Abdominal pain in 7 years old

Male patient if age 7 years comes in opd with compalin of abdominal pain right side and near umblical since one month. Chief Complaints Abdominal pain Loss of appetite. History History of taking medication . Mefenamic acid. Metrogyl 200 mg tds. Neeri. Pan40. since one month but no improvement. Vitals Normal. Physical Examination Weak. Weight 35 kg Investigations Usg: mesentric lymphnodes are seen enlarge 11×5mm. Concretion in left kidney. Diagnosis Needto be discuss. Management Need to be discuss.

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its mesenteric adenitis . give tab lcin oz 1 tab twice daily for 7 days . tab drotin m 1 tab thrice daily for 7 days . tab pan 40 1 tab once daily . cap vitazyme 1 cap twice daily for 15 days . do take history of contact with tuberculosis tooo .

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Send Haemogram CRP Blood culture. Start Triple antibiotic regimen( IV cefotaxim ,IV amikacin ,IV metronidazole). Start analgesics (IV paracetamol, Tramadol ,meftal spas round the clock) . Pantoprazole (orally/ IV ).

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Mesentric lymphadenitis size 11mm, not much significant for Koch's. Do CBC, esr, Chest Xray, CRP factor Give IV monocef 1gm bd Amikacin 125mg BD Meftsl spas bd All for 5 day's

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Mesenteric Adenitis. To be treated with a combination of antibiotics and anti inflammatory drugs. 1. Syp Oflox 100mg/5ml - 10ml bd for 7 days. 2. Syp Ibugesic Plus - 7.5 ml tds for 7 days for inflammation and pain. 3. Tab Bandy plus (albendazole+ivermectin) - stat.Repeat after 2 weeks. 4. Cap Nilstone - 2 cap bbf for 9 days. Plenty of fluids. Investigations: ESR, Mx, Urine routine, Widal.

Blood counts Urine ,stools exam Xray chest CT /US guided FNAC of mesenteric lymph node Probably a non specific mesenteric adinitis. DD TB adinitis Deworming can be done . Treatment after results are available.

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? BOWEL PATHOLOGY.. ? MESENTERIC LYMPHADENITIS.. NEED'S.. ROUTINE INVESTIGATIONS.. CRP.. USG..ABDOMEN..CTCE..STUDY.. CXR HPE..STUDY..

I am agree with@Dr. Robin Nirwan Sir.

Thanks@Pranab Bera sir
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