Anemia, Serve Jaundice,

A 93 old yrs female came on emergency K/C/O of SOB, intermittent of fever, vomiting, hyperactive, delirium parasite's, confusion, three episode of seizures, PMH - Unknown, FSH - NAD, Allergic History - Unknown G.E. - Hyperpyrexia, both lower extremity pitty oedema, hypoxia, RUQ tenderness, Apnea, tachycardia vital - B.P. - SBP - 7039mm/hg, Pulse 156bpm, R.R. - 32, SpO2 - 83 %, RBS - 145mg/DL CVS - S1S2+, RS - B/L +, CNS - Semiconscious, disoriented, Other - GI - RUQ tenderness+ Pathological History are attached Suggested your differential diagnosis & line of management and your valuable opinion, Bed sided CXR P/A film is awaited.

LikeAnswersShare

Low Hb 7.3 WBC-9100, Total bilirubin 9 mg/dl with direct bilirubin - 6.6 mg/dl This patient is very old, hypotensive, critically ill Raised bilirubin indicate obstructive jaundice Pain in right hypochondriac region indicate that it can be cholangitis

Thank you doctor
0

Acute cholecystitis,? Calculus with obstructive jaundice, septecemia, encephalopathy Mild renal insufficiency, hyponatremia, ANEMIA Liver / GI malignancy to be ruled out. ARDS secondary to sepsis Metabolic cause for seizure MRI BRAIN, to check for organic causes of seizures

Thank you doctor
0

Hemolytic jaundice. ? Hepatitis. High creatinine and urticacid due to poor metabolism and muscle wastings. Need admission and observation. Hypoxia and tachycardia and edema due to less hb.

Sickle cell anemia try kumarkalyan ras/swarnavasant malti ras+praval pisti+kahrava pisti+moti pisti+giloy sat+praval panchamrit and make doses according to age secondly you must give aloe vera juice+giloy swaras+wheet grass juice in morning and evening empty stomach thirdly pranayam is must

Lft indicates obstructive pathology, seizures may be d/t HE,manage pt on the line of HE

Thank you doctor
0

viral meningoencephalitis

Thank you doctor
0

Hepatic encephalopathy

Thank you doctor
0

Cases that would interest you