STEP BY STEP DIAGNOSIS

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MOSNAN MOZAFARI H.; FARHOUDI M.; PANAHI M.

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Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2007 | Volume:50 | Issue:97 Page(s): 339-345

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Title

STEP BY STEP DIAGNOSIS

Author(s)

MOSNAN MOZAFARI H. | FARHOUDI M. | PANAHI M. | Issue Writer Certificate

Keywords

Not Registered.

Abstract

A 25 - years- old man was admitted to the hospital because of fever, chills and jaundice after return from Pakistan. On physical examination he had fever (40' c) and BP of 120170,respiratory rate and pulse rate were 24 and 100 respectively. Heart sounds were normal and there wasn't any pathologic sound in lungs. The sclera was icteric yet there wasn't any signs of anemia 'and no adenopathy was found. In abdomen, hepatosplenomegalywas present and right upper quadrant had tenderness on examination, however, there wasn't ascitis and collateral circulation. Laboratory tests performed and revealed leukopenia (3500) and thrombocytopenia (70000) but no anemia, increased liver function tests and bilirubin, though normal PT and PTT. Wright, 2 ME, widal was negative. Sonography of abdomen revealed hepatosplenomegaly, still other findings were normal. Because of high fever blood culture performed and parenteral antibiotic started. For bicytopenia and increased liver function tests, bone marrow aspiration and additional tests, also, carriedout. Markers of viral hepatitis (HAV. HBV. HCV. CMV HBV.HSV) and autoimmune hepatitis were negative and BMA was normal. After five days of admission when the patient was on parenteral ceftriaxone and did not have any fever and felt much better, the result of blood culture reported as salmonella typhi.As a result in patients with fever, jaundice and hepatosplenomegaly it is essential to consider typhoid fever, although the widal test is negative.

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APA: Copy

MOSNAN MOZAFARI, H., FARHOUDI, M., & PANAHI, M.. (2007). STEP BY STEP DIAGNOSIS. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 50(97), 339-345. SID. https://sid.ir/paper/52334/en

Vancouver: Copy

MOSNAN MOZAFARI H., FARHOUDI M., PANAHI M.. STEP BY STEP DIAGNOSIS. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2007;50(97):339-345. Available from: https://sid.ir/paper/52334/en

IEEE: Copy

H. MOSNAN MOZAFARI, M. FARHOUDI, and M. PANAHI, “STEP BY STEP DIAGNOSIS,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 50, no. 97, pp. 339–345, 2007, [Online]. Available: https://sid.ir/paper/52334/en

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