Fever and vomiting

Female patient of age 21 comes in opd with complain of high grade fever and nausea since three days Chief Complaints Fever Nausea headach History History of taking medication from somewhere else Tab: cefixime+oflo bd Tab:Dolo 500 tds Tab: ondan 4 tds Cap: becasoule od for same condition but condition not relief Vitals Bp: 100/60 Pulse: 55 Physical Examination Weak Pallor Anemic Investigations I advice fever profile with crp Urine R/M Reports come today Cbc: Hb:12.2 Esr: 60 Platelets: 1.2 lakh Crp:52 Widal: 1/160 + Urine r/m : Pus cells: 5-6 Epithelial cell: 7-8 Albumin:++ Diagnosis D/D : Uti? Typhoid? Covid??? Management Need Discussion Please advice

LikeAnswersShare

Strongly positive crp and esr with high grade fever is to be first diagnosed as covid infection and send for xray chest hrct and RT PCR Shift on anti virals Provisionally you can start Cap fluvir75mg 1bd Tab azithromycin 500mg 1od Rest continue

Thank you doctor.
0

View 1 other reply

Evaluation needed for malaria and dengue with LDH, SGPT, G6PD. False positive widal most likely with Malaria. Could have been better to send for Blood culture before initiation of antibiotics. SARS COV2 antigen test is also mandatory.

Thank you doctor.
1

In this present scenario, presentation with High grade Fever (or any fever) has to be first cleared of Covid 19 infection... Further pt is having Pus cells and Albumin on urine routine..... send urine culture and treat for UTI if present

Thank you doctor.
0

ESR & CRP increased with H/o high grade fever Advice Covid-19 Antigen test Suspected Covid-19 infection Tab Azithromycin 500mg 1BD X 5days Tab Dolo 650mg 1tab if fever Tab Razo D 1BD Tab Vitamin C 1BD

Thank you doctor.
0

In this situation every Fever is suspected covid 19 untill prove otherwise. Do HR CT Or T RT PCR. Plz mention fever duration..

Thank you doctor.
0

Rule out COVID19 ,dengue

Thank you doctor.
0

Diseases Related to Discussion