Jaundice

Pt came with Fever with chills Anorexia Cough since 15 days Chief Complaints 39 yr male patient brought by relatives having c/o fever with chills Fever was intermittent , evening rise low grade followed by chills and sweating Cough without expectoration occasionally Anorexia since 15 days He was on antitubercular drugs notice jaundice yellow discoloration of sclera , mucous memberane and yellowish colour urine Then his Dr advice to hold akt treatment but jaundice remains no improvement Vitals Pt is conscious,oriented Temp 98 f Pulse 86 /min RR 28/min Bp 110/60mm of hg Pallor absent Cyanosis absent Clubbing absent Oedema absent Physical Examination Per abdomen generalized tenderness spleen palpable 3 cm in mid clavicle line liver and kidneys nonpalpable umbilicus inverted centrally place no shifting dullness no fluid thrill Rs air entry equally on both sides no wheezing no cracles Cns nad Cvs s1 s2 normal no cardiac murmur Investigations CBC LFT Usg attached adv pls

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? JAUNDICE .. NEED'S .. HOSPITALIZATION .. IV FLUIDS .. MV .. ANTIBIOTICS .. LIVER TONICS .. SYMPTOMATIC T/T .. GASTROENTEROLOGISTS OPINION ..

Thank you doctor
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A/C/O KOCH'S WAS ON AKT , BUT DISCONTINUED DUE TO ICTERUS. REPORT'S SUGGESTS ANEMIA WITH EOSINOPHILIA WITH HYPERBILIRUBINEMIA WITH DERANGED LFT'S & HYPONATREMIA USG SHOWS MILD HEPATOMEGALY WITH GEADE-I FATTY LIVER PERIPANCREATIC HYPODENSE LESION MINIMAL ASCITES RX, IMMEDIATE ADMISSION INJECTION MEROPENEM IV BD INJECTION PPI INJECTION ANTIEMETIC INJECTION HEPAMERZ IV BD TAB SILYBON-140 MG BD SYP LIV-52 DS 2TSF TDS INJECTION PCM 1GM IV TID NEBULIZATION TDS COUGH SYRUP TDS IV FLUIDS WITH MVI

Thanks sir but what is cause of jaundice it is not subside after akt with hold rt now pt is on levoflox supp treatment
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1.kamale tu virechan 2.bhumiamla churna + kutaki chyrna + gipoy satva 2.livomap syruy 3.punarnava mandur jai ayurveda

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