Female patient age 7 complains of fever for last 3 days had covid
C/o fever 104 Odema in hands Hx covid positive Rx? Investigations Hematology reports Urine exam reports
Age 7 yrs COVID +ve High D dimer CRP is negative Low HB Go for RtPcr There is no cough or sore throat so may b + ve Start Azi 250mg Tab Doxy 100 Tab Calpol 500 mg bd Tab Iverctim 6mg od Tab Allagra for rashes Tab Fluvir half tab four times a day Rehydrate with frequent hot water.
Anaemia Do hrct Serum protein Serum creatinine Ecg Hrct Once fever subside Iron therapy Azee250 bd Hcq400 stat 200 mg od4 days
Evaluate for associated secondary infection. Adv cxray
Might be pulmonary embolism. Adv.X ray chest , Repeat Covid RTPCR. And evaluate for associated secondry infection
MISC Kawasaki like response, post covid infection May required steroid for short duration
Add antiviral Look for sec infection
Advise admission and treatment
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Having rashes c itch. Doubt CKD, RHA or ASO titer... Suggested further inv for final diagnosis.
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Dr. Rishabh Dixit2 Likes17 Answers - Login to View the image
what should I do for it... should I use steroid injection for this..???????
Dr. Ashish Mishra3 Likes23 Answers - Login to View the image
A 50 yr/M came to me today night with the c/o swelling subamandibular region o/e bilateral lymphadenitis,cough sometimes after food,anemia,no wt.loss,well build, lymphadenitis sinc3?months since 1month taking treatment from chest physician,and ENT,they dignosed him as reactive lymphadenitis,started him on oflox cefexime ,Aceclopara,and iron suppliment since 15 days k/c/oDM under control only taking Metformin,he had devloped rashes today morning. i suggested him xray cbc,what it can be dignosis please. I ll get his report by tommrow.
Dr. Vijay Gupta4 Likes17 Answers - Login to View the image
a 12 yr girl come with fever on&off since last 10 days. complaint of abdomen pain and weaknesses. o/e liver and spleen enlarge, paller, febrile...plz suggest TT and cause of incre. plt. count
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