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RE: ONLINE WARDROUNDS (Ep 2): FEATURING Case Reviews AND Special TETE-A-TETE with @Zoneboy!
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.
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?
Thanks a lot bro.
We should seek history of consumption of unpasteurized milk and soft cheeses made from the milk of infected animals.
Very good one again. You are doing very well @drqamranbashir
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.