Montoux positive

Male patient comes in opd with compalin of weight loss weakness and excessive negetive thoughts since long on date 20/09/2020 Chief Complaints Weight loss Sleeplessness Weakness Appetite low Since long History History of taking medication for same problem from saveral hospital but symptoms not relief On day one I prescribe tt for symptomatic relief And call for review after 10 days And advice on date 20/09/2020 Montoux Cbc Urine rm Hiv Sputum AFB Vitals Bp: 150/100 Pulse: 98 on 20/09/2020 On 13/10/2020 Bp: 110/80 Pulse: 68 Physical Examination Weak Investigations Cbc: esr: 40 Hb: 10.8 Montoux : Erythema: 28×30 : Induartion: 20×22 (13/10/2020) Sputum afb negetive on day one and day two Hiv non reactive Diagnosis Anxiety?? Schizophrenia?? Koch?? Management On date (20/09/2020) I provide: Tab: Pexep cr 12.5 mg HS Tab:zinvovit one od Tab: pan 40 one bbf Syp: sorbiline 2 tsf bd Tab: Amlo 5 mg od Now according to recent scenario what to do next???? Need detail Discussion

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Respected Doctor please ask for chest X-RAY PA view, TB Gold, CBNNAT

I agree
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Depression due to secondary Tuberculosis ....in case decrease sleep and severe headache, loss of appetite bed time sweating fever are common. Inflammatory cells are developed. Can start medicine under physician reference AKT,anti depressants SSRI,zolpidem, appetizers,

Do lft, cxray ,hiv, sputum profile, family history in view of depression, schizophrenia..

Thank you doctor
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I am agree with@Dr. Ramesh Kumar Singh Sir.

Thank you doctor
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