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RE: ONLINE WARDROUNDS (Ep 2): FEATURING Case Reviews AND Special TETE-A-TETE with @Zoneboy!

in #air-clinic • 6 years ago (edited)

Let me (as GP) attempt case 2

My dx is Brucellosis. My basis for diagnosis is typical history of patient being sheep farmer having ** UNDULATING FEVER** with myalgia /arthalgia.

DDX:- Brucellosis, cat scratch disease, typhoid, cryptocosis, histoplasmosis, Mycoplasma pneumonia, TB.

Work-up :-

  • CBC.
  • LFT.
  • RFT.
  • SEROLOGY- HEPATITS , BRUCELLOSIS.
  • WIDAL TEST.
  • SPUTUM/BRONCHIAL WASHINGS FOR AFB.
  • CXR

MANAGEMENT:-
Antipyretics and analgesic like paracetamol.
Antibiotics- Doxycycline is DOC for brucellosis.

6 years ago in #air-clinic by
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     6 years ago 

    You are in order bro @drqamranbashir. I really love your detailed plan for management of the patient.

    What information in the history would be also beneficial to look out for?

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       6 years ago 

      Thanks a lot bro.
      We should seek history of consumption of unpasteurized milk and soft cheeses made from the milk of infected animals.

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       6 years ago 

      Very good one again. You are doing very well @drqamranbashir

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       6 years ago 

      Awesome, welll detailed plan @drqamranbashir and I definitely agree with you on this case two. What's the dosage incase someone needs to be treated who is currently having to deal with this illness.

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