Concluded Case

This patient 30 yrs old with complaints of Weight loss , fever (on/off) and diarrhoea since 1 month was admitted in ED......suspection of Immunocompromised State was there and Reports are awaited....The pt is having high grade fever and his initial reports are given....Discuss the treatment approach

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Concluded answer

Appears to be in immunodeficient state. Anemia with hypoproteinaemia Pre renal azotemia With electrolyte imbalance Get sero reports Get PT/INR APTT done Get chest x ray as well as USG abdomen Packed cell transfusions needed. Multivitamins Inj thiamine Start empirically on an antibiotic TPN might need

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Advised HIV test. Is he known alcoholic,how are the liver enzymes,serum ferritin, x-ray showing cardiomegaly advised 2DECHO Injection Thiamine with MVI drip,packed cell transfusion, sure potkhlor for hypokalemia,ors

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I agree c Dr. S. K. R Naik

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HIV ?... Koch's ?

I agree with Santoshkumar Nayak. I advise for HIV testing

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HIV? Secendry TB

Amylodosis?

@Dr. Vishal Bandgar

Immunocompromised with pulmonary TB

Appears to be in immunodeficient state. Anemia with hypoproteinaemia Pre renal azotemia With electrolyte imbalance Get sero reports Get PT/INR APTT done Get chest x ray as well as USG abdomen Packed cell transfusions needed. Multivitamins Inj thiamine Start empirically on an antibiotic TPN might need

Thank you doctor
0

X-ray showing cardiomegaly with tiny infiltrates in left upper lobe Rule out serostatus and advised ultrasound abdomen

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