Entric fever

A 30 year Female come to my clinic Chief Complaints High grade fever shoulder pain backache Nausea vomiting abdominal pain Vitals Temp 99 Bp 130/80 pulse rate 80 spo2 96% Investigations Typhoid Platelets count Mp Card Diagnosis Entric fever Management Tab Zifi BD Tab lornoxicam 8 BD Cap Pantocid DSR BBF Tab Calpol 650 TDS

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Check CBC count Confirm widal or Weil felix test for enteric fever Get electrolyte and urineR Iv fluids Inj ceftriaxazone Inj paracetamol Inj ondestron Inj pantaprazole Inj polybion

Thanx dr Azeem Shaikh
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NEED'S .. IV..FLUIDS .. INJECTION CEFTRIAXONE 1GM .. PPI .. ONDANCETRAN .. BUSCOPAN .. MULTIVITAMINS .. PCM ..

If vomiting then start Inj Ceftrioxone 1 gm iv bd I v fluids I v paracetamol Inj

IV FLUIDS WITH , MONOCEF 1GM , VITCOFOL-C, NUCID 40MG , DEXAMETHASONE . AMIKACIN . METRONIDAZOLE INJ 100ML I.P . ORALLY , TAB - ZINDERVIT BD. TAB - PANTA -D . TAB - AZITHROMYCIN 250MG BD. TAB - ZERODOL-P BD. TAB - IVERMECTIN 6MG BD

No need for admission or Injections Remove lornoxicam, add azithromycin 500 OD/BID to ZIFI (cefixime) OR Cefixime- Ofloxacin combination BID Either of the above for 7 days Rest are fine. Calpol/Dolo 650 SOS (upto QID) Pantocid DSR for 7 days

And a temp of 99 can hardly be called High-grade fever. Ask patient to take bland diet for a couple of weeks atleast.
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This is Santat Jwar. It should be controlled with chandrakala rasa, jwarankush rasa, jaymangal rasa, amrutarishta.

IV MONOCEF 1 GM PPI EMSET IV IV DYNAPAR IM BUSCOPAN TAB PCM IV FLUIDS WITH MULTIVITAMIN INFUSION

Given 7days antibiotics and 3days dexa

If given oral treatment Cap pantop od e/s Tab gudcef plus Tab crocin 650 tds Cap multivitamin Ors

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