19 yr old female pt. comes with evening time severe nausea for 20 day then it get relieved itself after 20 days..pt also gives history of cough and fever for 7 days ..pt also gives history of pain abdomen at different locations mild in intensity..pt also gives history of weight loss...no history of blood in stools or malena ...on examination pallor is present ..abdomen examination is normal.. on USG inflammed terminal ileum is seen ..report is enclosed within

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enteric fever

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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evaluate for tuberculosis. abdominal.advise haemogram,chest x-ray,and cect .

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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possibility of abdominal tuberculosis .Do colonoscopic biopsy

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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abdominal tuberculosis l

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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CECT abdomen to confirm usg findings..no mention about appendix in US, colonoscopy -biopsy ..IBD or ileocaecal TB can be ruled out..

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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it could be tuberculosis // Chron's ileitis

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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In some viral or bacterial infection upper respiratory tract infection mesenteric lymph node are inflammed.They also subside with upperrespiratoryinfection subsides

can it be crohns disease
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enteric fever

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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It can be chron's. A colonoscopy can rule this out. Though no mesenteric lymph nodes are enlarged a C.T can also be done to rule out mesentric adenitis as the symptoms also suggests of kochs abdomen

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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X ray chest, ESR, CBC,Widal, LFT required to make diagnosis. Also want to know whether patient has any diarrhoea

widal and mpqbc are normal. hb %is 14.1..neutrophils 82..lymphocytes 14..ESR is 10 (westergrens method)
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