Concluded Case


55/f having fever on 28 Jan, coming to clinic on 29jan, started ceftriaxoneSB bd Fir 3 days, fever subsides, but repeat cbc, wbc 21500, but no fever. no other complain. suggest opinion


Concluded answer

patient put on amikacin 500bd, and levoflox 100ml od for 4 days, repeat cbc, improved, patient no fever cough etc, discharged

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Anemia, leukocytosis, thrombocytopenia Rising WBC count Differential diagnosis Leptospirosis Malaria Dengue Tick typhus Hepatitis Adv Do liver function test Ps for malarial parasite Add C. Doxycycline 100 mg twice a day - it will take care of tick typhus, leptospirosis and malaria Check for leptospirosis IgG and IgM Check for Dengue IgG and IgM Do X ray chest

Leucocytisis, ANEMIA and thrombocytopenia Suggest Continue Antibiotics PERIPHERAL SMEAR Investigations to pin point system of infection - xray chest, urine cultire, and blood culture, abdominal ultrasound Bone marrow aspiration Combination of leucocytosis, ANEMIA, thrombocytopenia and fever can be seen in HEMATOLOGICAL malignancies like acute Leukemia.

Does pt have cough As there is thrombocytopenia Adv for xray chest It could be secondary infection Yes continue same line of treatment Orally add azithromycin 500mg 1od Keep monitoring

Thanx dr Dinesh Gupta

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Continue same line of treatment sir. Could be reactionary raised counts, may take a week to come down. Watch on fever and hemodynamics.

Anaemia,Neutrophilic Leukocytosis & Thrombocytopenia. Leukemoid Reaction.

Thrombocytopenia/low platlet  1. Cap Ashwagandha 2 TDS 2. Tab Punarnava Mandur 2 BD 3. Amla Juice 20ml+20ml water BD 4. Wheat Grass Juice 30ml OD empty stomach Alongwith the abovesaid you also can advise PAPPAYA LEAF JUICE 20ml at an interval of every 2 hrs,it increases platlet count within 2-4 days.All this will help you a lot still if you want some sure short combination then you also can make a following:- a. Bhringraj 20gm b. Kasni 20gm c. Kalmegh 20gm d. Makoy 20gm e. Katuki 20gm f. Sharpunkha 20gm g. Punarnava 20gm h. Bhumi Amla 40gm Powder & Mix all the abovesaid,after kapadchaan advise 1 tsp(3gm) BD.

Thrombocytopenia Acute leukemia Peripheral smear Continue same tretment....

Viral/Dengue fever with thrombocytopenia ? Suggest. Dengue profile. BT. CT. Inj. Monocef 1 gm. Iv. Inj. Dexona 8 mg st. Then 4 mg. Bd. Tab. Caripil. 1 tid. Iv fluid.

Continue same treatment Reactionary raised wBC Kindly add amikacin too Rull out any abcess formation

patient put on amikacin 500bd, and levoflox 100ml od for 4 days, repeat cbc, improved, patient no fever cough etc, discharged

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