PICU 1 25092017 9yr female 22kg GTCS episode f/b prolong loss of conciousness f/b alterd sensorium(at 22 september 2017)sunken eyes with hepatomegalae Neck rigidity abscent Pupils normaly reactive non photophobic Cracked pot sign negative At present sensorium allert H/o intermittent fever without chills NCCT wnl reports attached Our ddx dengue fever with viral encephalitis vs hepatic encephalopathy 1.Kindly Add ddx 2.what is the cutoff size of the sludge ball within gb as shown in USG 3.what are causetive aorganism possible and what should be DOC and preventive measures according to you Thank you

4year old with high grade fever with chills since 1 week ,hepatosplenomegaly cheilitis red tongue ,started on monocef since 3days ,no resolution of spikes ,amikacin added after 48 hrs but no respite.

4yr old..fever since 8 days with altered sensorium

*Chief Complaint* A 61 y/o female with a PMH of chronic hepatitis C infection & htn came with generalized weakness, fevers, tirdness and patient is not eating anything. *History* On examination patient was confused but conscious. He has left lateral gaze palsy, *Investigations* Serum sodium level 126 mmol/L (normal 135-150 mmol/L) and a platelet count: 88,000/µL (normal 150,000-400,000/ µL). Creatinine level raied to 1.13 mg/dL. *Diagnosis* Chest x-ray is posted below. Please advise diagnosis and treatment

7 yrs old male child with fever since 17 days on and off 101 to 103 with chills, mild cough. iv pipzo amikacin started 3 days back but still fever , hemodynamically stable . widal is nagative . plz give ur expert opinion.