Chronic Pancreatitis

3 years old male baby history of on off fever since 1month, antibiotics and analgesics given.sypmtoms relieved. 5days back fever came again mod to severe, mild pain abdomen usg done showing around 12 mesenteric lymph nodes enlarged, since 5 days patient is being treated but after every 6 hrs high grade fever appears, mantoux done negative, cbc done showing lyphompenia and raised esr widal not reactive rest investigations normal. Then patient was talken to ent specialist he did xray naso pharynx which showed adenoid hypertrophy and otitis media with effusion on otoscopy. Fever is still coming after pcm effect finishes that is after every 6 hrs. Need your suggestions please how to proceed further

please help..A female 40 yrs age having severe knee jt pain here is mri report what should b d treatment ..is opt is necessary .

19 yr old female pt. comes with evening time severe nausea for 20 day then it get relieved itself after 20 days..pt also gives history of cough and fever for 7 days ..pt also gives history of pain abdomen at different locations mild in intensity..pt also gives history of weight loss...no history of blood in stools or malena ...on examination pallor is present ..abdomen examination is normal.. on USG inflammed terminal ileum is seen ..report is enclosed within

*Curd is the one of important part of indian meal Few things about curd, one should know: *Curd qualities and benifits: Amla rasa – sour taste Amla paka – undergoes sour taste conversion after digestion Grahi – absorbent, useful in diarrhoea, Guru – heavy to digest Ushna – hot in nature Vatajit – balances Vata Increases Meda (fat), Shukra (semen), Bala (strength), Kapha, Raktapitta (bleeding disorders), Agni (digestion strength) and shotha (inflammation). Rochishnu – increases taste Useful in aruchau – useful in anorexia Vishamajwara – chronic, recurrent fever Peenasa – rhinitis Mutrakruchra – dysuria Grahani Rochana – improves taste, appetizer Deepana – improves digestion strength Vrushya – aphrodisiac Snehana – imparts oiliness Balavardhana – improves strength and immunity Amla Vipaka Ushna – hot Vataghna – Balances Vata Mangalya – auspicious Brumhana – improves nourishment Useful in Pinasa (rhinitis), Atisara – diarrhea, Sheetaka (fever with cold), Vishamajwara – irregular fever, Aruchi – Anorexia, lack of interest in food Mutrakrichra – dysuria, difficulty to pass urine Karshya – emaciation It is generally harmful during autumn, summer and spring seasons. It is invariably harmful in diseases caused by the vitiation of blood, Pitta and Kapha. Curd qualities(charak sutra sthan 27) *Rules for eating curd: Curd should not be ate at night Should Not ate without saindhav(rock salt), sugar, ghee, amalaki choorn(powder of indian gooseberry), mudga yush( soup of green gram), honey It should not be heated *If all above mentioned rules are not followed, one can suffer from following disorders Jwar(~fever) Asrukpitta(~bleeding disorders) Visarpa Kushtha(~skin diseases) Pandu Bhram(~giddiness) Kamala(~jaundice)- ------(charak sutra sthan 7)

35 Yrs M hospitalised for Alcoholic Acute Gastritis Non -Htn/ Non-DM No any Cardiac Symptoms PR 50bpm BP.. Normal ECG as follows How to approach??