What's the probable diagnosis and treatment?

A 1 year old child presented with Fever without chill and rigor for 1 month associated with cough and cold. A series of antibiotics have received from rural doc. Now cough and cold subsided. Fever continues. Chief Complaints Fever for 1 month Investigations Mp & widal - Negative Hb- 9.2 Otherwise normal CH report. Diagnosis ?? Management ??

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1.First document fever by Thermometer,& if present, type of fever 2.whether sick looking/ wt. child before1 month & now.wt.of child ??decreasing or mainted same//?? any Rash Once again arrange for Hemogrsm, c PS study CRP, /ROT,/CXR,/Urinalysis/Blood & Urine culture/LP Montaux test/ Rarely anticipate for HIV / Thyroid function / LFT/ Brucellosis/ ??Acute Myeloid Leukaemia

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one of the most common diagnosis missed is uti . do urine r/e n c/s . rural doctors prescribe cefixime for every illness . steroids bhi diya hoga . cough n cold ke liye . fools spoil most of the cases . is there history of contact with tuberculosis . does the child stays near cattle jungle are . tb brucellosis scrub typhus all need to b ruled out .blood c/s crp IgM brucella weil felix test montoux test cxr sputum c/s esr . even think about any hidden foci of infection .

? PUO .. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. LFT..KFT.. TYPHIDOT..DENGUE TEST.. RT..PCR..COVID-19.. CXR.. MEANWHILE TREAT SYMPTOMATICALLY..

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P UO please ask for URINE C/S chest X-RAY PA view and look his penis. Is Phimosis or not if yes then wash it . May be collection of smegma which cause fever

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Rule out foci of the infection... Rule out atypical infection. Haemogram( with differentials & PBS) , ESR , CRP , blood culture , culture for brucellosis , urine routine , chest xray, USG abdomen .Rule out TB. SoS Bone marrow study & CSF.

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Do xray chest, ppd, urine routine and culture, cbc, repeat mp test.Do abdominal usg. Take history regarding contact with tb, urine stream, frequency etc.Do good clinical exam. May even consider csf study.

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Obviously requires xray chest ,and urine routine and culture,. Maximum chances of primary complex

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NEEDS FURTHER. EVALUATION WITH X. RAY / U S G AND CULTURE/ SENSITIVITY

History is not sufficient, kindly take detail history about type of fever and cough, refusal of breast feeding, about wt.loss, activity of child. Ask family history, especially mother is suffered or sufferring with such symptoms. O/E is there any hepatosplenomegaly, or unusal swellings, any auscultation respiratory or cardiac abnormal sounds. Investigation needs chest X ray, USG of heart and abdomen.DDs: Evaluate for pneumonia, congenital cardiac diseases, TB.If it any per abdomen mass r/o hepatic or splenic or renal pathology.

Plz ask about ?Tick bite history ? Any rash on body Do Weil Felix CBC CRP Urine routine USG CXR Treat according...

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