Non resolving fever

Please interpret the report of LFTs? Chief Complaints 28/M reported to me and has been complaining of feverish sometimes like 100,101 F, headache, constipation for past 10+ days Even had anorexia etc before that No complaints of cough, breathlessness, dysuria, or other urinary symptoms History He had even take course of synriam tablet for Malaria His MP by RDT, Typhidot all are negative CXR PA is normal too SGOT - 153 SGPT - 137 Management Kindly guide how to proceed with the case Meanwhile, I have asked for an USG W/A to the patient Do we need to do viral markers too in this case?

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PYREXIA..WITH .. THROMBOCYTOPENIA .. ELEVATED LEVELS OF .. SGPT.. SGOT .. ? VIRAL FEVER .. ? SAR COV2 INFECTION .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. HEMOGRAM .. URINE ROUTINE.. MP..WIDAL .. DENGUE .. HEPATITIS VIRAL STUDY .. RT..PCR..COVID-19 .. USG..STUDY ..

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Thrombocyotopenia, Do RTPCR, Dengue Virus Type 2 NS1 Antibody, HBs Ag, HCV, HIV, SERUM ANA, BLOOD C/S, Urine C/S, USG W/A

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Throat swab RT PCR Dengue test Weil Felix test Lepto IgM Aso titer RV HbsAg ANA Blood culture Urine analysis 2 d echo CD

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Do dengue. Igg igm With hepatitis Thrombocytopenai Lymphocytosis Elastography

LFT are deranged Ad Usg Abdomen Viral markers Urine for C/S Blood C/S

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What other reports of LFT. Looks hepatitis. Wait. Symtomatic

Adv. USG : upper abdomen Hbsag test RT-PCR test Widal test Liver supports

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Look for Dengue Covid 19 Viral markers for hepatitis

As this patient has ongoing fever for more than 10 days less likely to have acute viral hepatitis and usually OT/PT is in thousands in viral hepatitis. Send blood cultures 2 set as typhoid is strong possibility and typhidot is not a reliable test for diagnosis of enteric fever.

Viral Fevar Tab pacimol 500mg bd Tab panto.40mg od Tab vellcef o bd Syrup lycomeer bd I've.flued Ns.500ml In ceftrazone 1gm In polyvin 2ml In zofer 3days

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