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