Fever one week

Male patient of age 50 Chief Complaints Fever 7days high grade Weakness History History of taking medication for problem from chemist but not relief History of cold and productive cough 10 days ago Patient have history of taking alcohol but not on daily basis Vitals Temp:103 Bp:110/70 Physical Examination Looks pale Weak Conscious oriented Investigations Date:08/11/2020 Cbc: hb:12.2 Platelates: 1.6 lakh Esr:60 Sgot :60 Sgpt:55 Urine rm:Normal Widal negetive Ps for malaria negetive Diagnosis Viral?? Fever of unknown origin?? Management Need precious advice

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Widal test is not reliable and it is positive only after 7 days Further investigate him. 1.Blood for Salmonella typhi antibodies IgG and IgM 2.X - ray chest 3.Blood for CRP , S.Ferritin LDH , D- Dimer 4.Nasopharyngeal swab for rt - RT - PCR for COVID-19 disease. After 7 days - most common cause of high grade fever 103 could be tyhoid fever, bacterial pneumonia or viral pneumonia Treatment- depends upon the investigations reports

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CRP high indicated the severe infection SGOT& SGPT high --- hepatitis/Liver disorder . Needs chest X-RAY PA view. Dengue antigen, CBC, Urine C&S. RULE OUT THE CONFIRM DIAGNOSIS BEFORE THE TREATMENT. IF NECESSARY RTPCR COVID 19 AND TREATMENT AND MANAGEMENT UNDER ICMR PROTOCOL.

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No second thought Screen him for covid19 infection Adv RT pcr And hospitalise as presenting symptoms are 9f covid

Sir Rapid antigen negetive
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Novamox 500mg 1tab bdDr. Iqbal Matoo Wysolon 10mg. 1tab bd Becozinc 1cap.od Ranidom RD. 1tab bd 5days

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IF RS HAD CREPS RONCHI IN CBC LEUCOCYTOSIS THEN ITS A LRTI ,MENTION THESE THING ON REPLY

@Dr. Pranab Bera need your precious advice sir

@Shivraj Agarwal need your precious advice

@Dr. Zaka Yusto M need your precious advice sir

@Dr. Parveen Yograj need your precious advice sir

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