Enteric Fever (Typhoid Fever)
Chief complaints:
- Fever that is gradually increasing to 104.9 F
- Headache
- Vomiting
- Weakness
- Fatigue
- Loss of appetite
- Muscle pain
- Relative bradycardia
- Loss of appetite
- Abdominal pain
- Rash (2 to 4 mm , Rose spots)
- Diarrhoea
- Hepatomegaly
- Splenomegaly
Diagnosis: (BASU)
- Blood culture: 1st week (Most Important test at disease onset)
- Antigen test(widal test): 2nd week
- Stool culture: (3rd week)
- Urine Culture: (4th week)
- Bone marrow culture: (Gold standard)
Investigations:
Full blood count (CBC)
- Anemia
- Leukopenia or leukocytosis (Absolute eosinopenia, Relative lymphcytosis)
Ultrasonography Whole Abdomen: Hepatosplenomegaly
Treatment: (1 Teaspoonful = 5ml)
- Syp. Cefixime 100mg/200mg (Brands: Cefspan/Cefiget= 100mg/5ml, Cefspan DS/Cefiget DS=200mg/5m) X BD
- Syp. Paracetamol (Panadol=160mg/5ml, Calpol=120mg/5ml, Calpol 6Plus/Panadol forte=250mg/5ml)
- Syp. Multivitamins/Appetite stimulant (Lysovit, Glyvisol)
Comments
Post a Comment