Persistant high grade fever

Female child age 18 Chief Complaints Fever high grade since one week Vomit since two days History History of taking Cefpodixime 200 Pcm 500 tds Pan 40 bbf Since one week but no relief Vitals Bp:110/70 Temprature:104.2 (03/02/2021) Sp०२: 96 Weight 45kg Physical Examination PA soft mild pain over abdomen Pallor+ Anemia+ Investigations Investigation Hb:10.8 CRP:24 TLC:2400 Typhi dot IGM and IGG positive widal positive 1/160 Platelates:1.2 lac Serum bilirubin:1.8 Diagnosis Enteric fever?? Management On Admit 03/02/2021 Inj monocef sb 1g bd Inj pan one bd Inj emeset one bd Inj polybion Inj Tramadol sos Ivf NS ०० After one day of tt Abdomen pain relief No episode of vomiting since 24 hours But fever yet persist 104.0 (6pm today(4/02/2021)

1 Like

LikeAnswersShare

? HYPERPYREXIA..WITH.. ANEMIA.. LEUKOPENIA.. THROMBOCYTOPENIA.. JAUNDICE.. ? PRE ENTERIC FEVER.. ENTERIC FEVER.. ? PUO ..

Sir can you guide how should proceed with Treatment! Any need to change treatment as patient not responding to tt given
0

View 2 other replies

What about urine reports.find out the source of infection.send blood and urine culture sentistivity,adv cxr PA view,USG WA

Urine R/M nornal
0

PUO Entrifever UTI Osteomyelitis Conceld infection Viral fever

D/D . Viral infection viral fever. Pyrexia. Anemia. Jaundice. Enteric fever.

USG abdomen and Pelvis, Chest X ray, Peripheral smear for Malarial parasite, Cultures of Urine and blood

Diseases Related to Discussion