Concluded Case

DIZZINESS & WEAKNESS.

21y/F Complaint with dizziness &weakness from past 2-3Months fever Report attached Please Dx & Rx?

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Concluded answer

Dx CHRONIC ENTERIC FEVER WITH ANEMIA ESR HIGH CRP NORMAL Rx ANTIBIOTICS LEVOFLOXICIN CEFITRIXIME SYMPTOMATIC T/T ONDANSTERON ANALGESIC IV FLUID ASCORBATE FERRATE 50MG × TDS MULTIVITAMINS

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Is there any abdominal pain, black coloured stools, diarrhoea, body rashes?? If so then send stool for occult blood and c/s before giving antibiotics Treatment- Give adequate hydration with 3-4 lit of oral fluids Antibiotics - Tab. Levoflox 750 mg OD for 7 days, Tab. Metronidazole 400 mg TID for 7 days, Antacids Tab. Pan 40 mg BID Multi vitamins - syp. Vitcofol 30 ml TID Soft non spicy diet for 2 months and avoid raw vegetables ingestion ... Eat everything boiled.... Provisional Diagnosis- chronic enteric fever

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Dx CHRONIC ENTERIC FEVER WITH ANEMIA ESR HIGH CRP NORMAL Rx ANTIBIOTICS LEVOFLOXICIN CEFITRIXIME SYMPTOMATIC T/T ONDANSTERON ANALGESIC IV FLUID ASCORBATE FERRATE 50MG × TDS MULTIVITAMINS

Iron deficit anemia,,iron therapy

It is not much likely to be iron deficiency anaemia..but it is much more likely to be enteritis induced malabsorption induced and might be chronic enteric inflammatory induced micro bleeding induced microcytic and hypochromic anaemia... As ESR is significantly raised So its important to treat the infection and inflammation and to provide nutritional support and proper supportive care..
2

Anemia

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