Vomiting in 1.5 year child High fever
Male child of age 1.2 year Chief Complaints Fever and vomiting three day Rash whole over body and itching Reduce urine output No other complaints History History of taking medication for same but not relief Patient and his parents recently come from outstation three days ago from marriage reception Vitals Temp:102.8 HR:130 Physical Examination Pallor+ Mild dehydration Abdomen mild tender Stool one shot of loose stool (greenish) Diagnosis GE?? Atopic dermatitis?? Management Present tt Syp:zifi 100mg Syp:meftal p Syrup:domstal After one day of TT mild relief Need to be discuss??
need to see the photograph of the rash . might b acute urticaria drug induced . as there history of travel high grade fever plus response to cefixime . treat it as infective diarrhea . n utmost importance should b given to correcting dehydration with ors or iv fluids . alwayas include three things in the mangement of gastroenteritis in pediatric patients ors zinc n probiotics . remember it as a rule of thumb . before starting iv fluids its better to do serum electrolytes first . if facilities not available then use ringer lactate . avoid nephro toxic drugs like amikacin .
GE c drug induced itching W/F dehydration, like loss of skin turger, sunken eyes, dry tongue, no tears during cry,CRTif >3 seconds, feel pulses,urine output, Start c ORS,....if not releived,...IV fluids Levocetrizine for itching
Hypovolemia due to water and electrolyte imbalance That's why tachycardia as a sign Septran syrup is a good choice for that. Plain paracetamol is good antipyretic.
Viral gastroenteritis with mild dehydration... T/t- -ORS adlib...bt if baby not taking it...start iv fluid RL to prevent further dehyration.. -probiotic -oral zinc -syrup paracetamol -syrup ondam will take 3-5 days to resolve... Monitor for signs of dehydration...
Seems acute viral gastroenteritis. No need to add antibiotics now but add syp zinc which is helpful in decreasing severity of illness, add probiotic and ORS if taking orally and syp paracetamol round the clock for 2 days then sos according to response.. monitor urine output. Send blood urea and creatinine and complete blood count, CRP.
If dehydration is present IV isolyte p acc to wait inj.monocef. Inj amikacin acc to wait.
AGE from my part. Probably viral as rashes present. Unlikely to develop rashes too early in bacterial infections. But I will definitely cover with ABx. Urine and blood should get tested for routine examination and culture
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