Cefteroline

A young patient of 18 yrs admitted with c/ o fever for past 30 days. No other symptoms. On examination nothing significant found except fever. All investigations were normal . CXR and CT chest is posted here for your valuable opinion.

Good morning Dear Friends, Presenting a case of a boy , 10yr old who was having history of fever, headache n vomiting for last 10 days. Had history of exertional dyspnoea. His father gives history of him becoming bluish when he used to cry at age of 4 to 5 years old. But due to financial constraints never got any medical help. Present Examination revealed Grade 3 Clubbing, Cyanotic nail bed, suffused conjunctiva, systolic thrill is present anteriorly along the left sternal border. A harsh systolic ejection murmur (SEM) is heard over the pulmonic area and left sternal border. The S2 is single. His Blood investigation revealed Hb 18.5 & HCT 63. WBC was 23000 with shift to left. RFT, LFT were normal. X ray is placed below. CECT Brain Revealed an Abscess. Q.. 1. Diagnose the clinical scenario. 2. Detailed management plan for this young boy. Regards.

A young female aged 18 yrs presented with history of Fever with chills , breathlessness since 5-6 days and altered sensorium since 1 day.....On taking history from attendants, it was revealed that She has had 2-3 episodes of Jaundice in last 2 yrs and 3 PRBC transfusions were also done 8 months back due to severe anemia....She was foundto have clubbing...Discuss this interesting case and possible differentials...

### 45 years old Muslim housewife got admitted with the complaints of joint pain for 2 & 1/2 years. Associated with generalised purpuric & non blanching rash for 3 days which is more on both lower limbs & upper limbs. H/o mild fever for last 3 days associated with oral ulcer. Known case of IHD, COPD & Hypothyroidism. What's your D/Dx ??? What's your Dx ??? What are the investigation that you will do ??? How will you treat the patient ???

one and half yr old presented with fever for 10days and blackish discolouration of toes since 8days which is increasing. Liver just palpable and 1cm spleen. Pansystolic murmur on mitral area on auscultation. Discuss.