Plz help to DX and treatment
Pt. Female 22yrs age Chief Complaints Vomiting, anorexia History On anti-tubercular drug Vitals Nad Physical Examination Nad
Rx Punarnavashtak qwath BD Sanshamni vati 2BD Kanchnar guggul.2BD for 3 month Making of kadha (Punarnavashtak qwath) : ek glass pani me 2 Chamach punarnavashtak kadha(bhuka) dalke ubalna he, 1/3 baki rahe tab usko chhanke lukewarm pina he.)
Rx Punarnavashtak qwath BD Sanshamni vati 2BD Kanchnar guggul.2BD for 3 month Making of kadha (Punarnavashtak qwath) : ek glass pani me 2 Chamach punarnavashtak kadha(bhuka) dalke ubalna he, 1/3 baki rahe tab usko chhanke lukewarm pina he.)
Kindly do lft as ATT are hepatotoxic Do Sr urea and creatinine and uric acid
Rect pit h acid h
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A boy 18 years old complain of yellowish discolouration scalra with weakness.mild abdominal pain with anorexia, ple diagnosis n tretment
Dr. Mubin2 Likes22 Answers - Login to View the image
4 yrs f ch presenting pain abdomen,fever, anorexia, nausea and vomitting,loose motion, abdominal discomfort since 3days wt 15kg now taking metronidazole susp drotaverin susp, silybon liv 52,ondem syr sos, please suggest ur valuable opinions usg awaited
Dr. Satish Kumar6 Likes26 Answers - Login to View the image
Case Challenge of the day: A previously healthy 50 y/o male presented with a 2-week history of malaise, anorexia and worsening abdominal pain, which progressed to nausea, vomiting and scleral icterus. He initially attributed his symptoms to an influenza-like syndrome; however, he became alarmed when he developed dark urine and generalized jaundice. The patient had no known personal or family history of liver disease. No history of any medications. He denied any changes in his diet or use of alcohol, tobacco or illicit drugs, but endorsed drinking 4–5 energy drinks daily for 3 weeks prior to presentation. . He did get a tattoo in his 20s, but denied any transfusions of blood products or high-risk sexual behavior. On physical examination, the patient had normal vital signs, scleral icterus and jaundice. Abdominal examination was remarkable for right upper quadrant (RUQ) tenderness, but there was no ascites, asterixis, spider angiomata or other signs of chronic liver disease. Laboratory studies revealed normal renal function. Rest you can see in the image. What do you think is the diagnosis and management of this case? Reference: www.ncbi.nlm.nih.gov
Dr. Shekhar Verma4 Likes32 Answers - Login to View the image
pt female age 16 yrs symptoms of anaemia and pain left hypogastric region >pressure. please suggest treatment and management....
Dr. Ajai Kumar Rai1 Like26 Answers - Login to View the image
23 years male pt come with law grade fever since 8/8/16 CBC MP (8/8/16) s/o TC:10200,HB:12.3,PCV:36.9,MCV:72.78,MCH:24.26,Platelets:195000,WIDAL(slide):negative treated with IV fluid 1 litre per day, cefreiaxone 1gm BD & supportive Rx given pt remain afebrile for 2 days but from 10/8/19 T:99.5 with chills ,headache bodyache,nausea and vertigo so repeat CBC mp done s/o HB:10.2,RBC:4.41,PCV:32.3,MCV:73.24,MCH:23.13,MCHC:31.57,TC:3500,Platelet: 88000,MP:ring and trophozoites of P.VIVAX(++). treatment ::: inj.RTsunate 120mg BD inj.DNS/RL @ 120ML/HR INJ.EMESET 4MG BD INJ.RANTAC 2CC BD INJ.FEBRINIL SOS INJ.VITCOFOL 2CC OD above treatment continue since 10/8/16 temperature chart: T:99.5 on 10/8/16 T:101.8 on 11/8/16 T:102.2 on 12/8/16 issue : fever spike increasing,vertigo ,vomiting and appetite decrease , please review this case and help me for further management report of date 12/8/16 attached here report of date 14/8/16: Hb-11.2,TC:9000,Platelet count-53000,MP-negative current issue: platelet decreasing,weakness,appetite decrease. but no fever,no rashes,no nausea and vomiting what can I do?? orally Rx. lumex forte BF emeset 1BD pantocid 1BD calpol 650 sos if fever /headache plz suggest me further Rx
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