Concluded Case

this pt high fever headache continue at 10 days . his tack medicine inj. xone 1gm daily please send me Dx&Rx

1 Like

LikeAnswersShare
Concluded answer

R/O Rheumatic fever, Rheumatoid arthritis, SLE. Check for subcutaneous nodules, murmur at heart, joint pains, erythema marginatum, through out systemic exams. Advice ANA, Anti CCP antibodies, ECG +/- ECHO, CBC, MP antigen as primary tests. Meanwhile give coverage for streptococcal infection with 1st /2nd Gen Cephalosporin or Amoxycillin.

All Answers

R/O Rheumatic fever, Rheumatoid arthritis, SLE. Check for subcutaneous nodules, murmur at heart, joint pains, erythema marginatum, through out systemic exams. Advice ANA, Anti CCP antibodies, ECG +/- ECHO, CBC, MP antigen as primary tests. Meanwhile give coverage for streptococcal infection with 1st /2nd Gen Cephalosporin or Amoxycillin.

Sir I am not receiving your notifications
0

View 1 other reply

Please note Simply a positive RA.ASO.CRP DOES NOT MEAN ACUTE RHEUMATIC FEVER. SUG.CLINICAL CORRELATION APPLY MODIFIED JONES CRITERIA GO FOR QUANTITATIVE RA.ASO.CRP. FOLLOW UP.

SHE HAS FEVER 10 DAYS HEADACHE NO H/ O ARTHRITIS URIC ACID IS HIGH ASO + VE BEARS NO MEANING UNLESS THROAT SWAB IS + VE FOR STREPTOCOCCUS BETA HAEMOLYTICUS .RHEUMATOID FACTOR + VE BLOOD ANTI CCP AB TO EXCLUDE RH. ARTHRITIS SHE IS TO BE E XAMINED AGAIN FOR ANY FRESH SIGNS = LIVER , SPLEEN LYMPH NODE , TENDERNESS RENAL ANGLES, NECK RIGIDITY ,CHEST ,HEART .. BLOOD & URINE = C & S DRUG FEVER TO BE EXCLUDED .BY STOPPING ALL DRUGS FOR 48 HRS CXR

Thanks sir
0

View 1 other reply

To r /o rheumatic fever, rheumatoid arthritis Adv arthritis profile CBC ESR LFT RFT x-ray chest blood sugar fasting, pp Tab opox cv 200 mg BD Tab enzoflam BD Tab pan D 1bd before meal Further management as per report

Pls do it ,Arthritic profile,CBC esr, bsr urine routine, sgpt sgot,typhi dot, CXR pa view ., throat swab culture All test should be done under pathologist, radiologist. Continue ceftriaxone 1 gm iv bd, pcm sos, Synriam or *3days

1) SarvaJwarhar Loh vrihat 1 tab Siddh Makaradhvaj Spl. 1 tab Sanshamani vati 1 tab KamdudhaRas moti 1 tab 2) Mahasudarshan churna 5 gm.b.d 3) Amrita rishta 1 tsf.b.d p.c 4) Panchtikt ghrit 5 gm.b.d with mishri and godugdh

नागरमोथा250mg+शल्लकी500mg+सोंठ चूर्ण1gm+कुचला चूर्ण30mg+मेथी दाना चूर्ण250mg+चन्द्रसूर250mg+कालाजीरा250mgअजवाइन चूर्ण250mg, एक मात्रा सुबह शाम महारास्नादि quath20ml+दशमूल काढ़ा10ml+पुनर्नवादी काढ़ा20ml के साथ,।एरण्ड पाक20ग्राम रात को सोते समय गर्म पानी से लें।लहसुन पाक10ग्राम भोजन के बाद

I agree with Dr.G.Mortuza. And whant to add one things. After -ve Teast dose give procain penicillin Inj � 5 days and then Penidura LA 12

Thank you sir.
0

rheumatic fever

Strep infxn ...Could be meningitis...Do LP and confirm ...Then start with broad spectrum antibiotics and supportive care

Load more answers

Cases that would interest you