1.Ravikanth / 11yrs /M / / B unit Fever—4days Headache-4days

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1.Ravikanth / 11yrs /M /237018 / B unit Fever—4days Headache-4days vomiting,pain abdomen-1day O/E PR-120/min feeble,BP-60/0mmhg P/A-Epigastric,Rt hypochondric tenderness R/s- air entry Rt infrascapular area.CVS-Tachycardia, s1s2 +. CNS-NAD Inv:Hb-12gm% ,HCT-36 ,Platelet count-26000 USG:Gall bladder Thickened Mild Ascitis, Mild Pleural Effusion 12

2.Manoj kumar / 6yrs /M /236909 / C unit Fever—4days vomiting -4days pain abdomen-1day O/E PR-110/min feeble,BP-80/0mmhg P/A-Epigastric tenderness+ R/s- air entry Rt infrascapular area.CVS-Tachycardia, s1s2 +. CNS-NAD Inv:Hb-11gm% ,HCT-33 ,Platelet count-60000 USG: Mild Ascitis, Mild Pleural Effusion 12

O/E PR-120/min feeble,BP-80/0 3.Laxmi/ 6yrs / F/237300 / B unit Fever—1week vomiting -3days pain abdomen-3days O/E PR-120/min feeble,BP-80/0 P/A-Epigastric,Rt hypochondric tenderness R/s-NVBS +.CVS-Tachycardia, s1s2 +. CNS-NAD Inv:Hb-10gm% ,HCT-32 ,Platelet count-50000 USG:Mild Ascitis, Mild Pleural Effusion 12

4.Mamatha / 11yrs /F /237699 / B unit Fever—5days vomiting -3days pain abdomen-3days O/E PR-110/min ,BP-100/60mmhg P/A-Epigastric,Rt hypochondric tenderness+ R/s- air entry Rt infrascapular area.CVS-Tachycardia, s1s2 +. CNS-NAD Inv:Hb-11gm% ,HCT-36 ,Platelet count-56000 USG:Gall bladder Thickened Mild Ascitis, Mild Pleural Effusion 12

vomiting,headache-1day O/E PR-100/min ,BP-90/60mmhg 5.Janani / 6yrs /F /237781 / A unit Fever—4days pain abdomen-2days vomiting,headache-1day O/E PR-100/min ,BP-90/60mmhg P/A-Epigastric,Rt hypochondric tenderness+ R/s- NVBS+.CVS- s1s2 +. CNS-NAD Diagnosis: ? Enteric fever ? Anicteric Hepatitis. Inv:Hb-13.5gm% ,HCT-38.8 ,Platelet count-79000 X –ray-Rt sided pleural effusion USG: Normal study 12

6.Nawaz ulha Khan / 14yrs /M /237882 / B unit Fever—4days Myalgia-4days vomiting -3days pain abdomen-3days O/E PR-120/min feeble ,BP-50/0mmhg P/A-Epigastric,Rt hypochondric tenderness+ R/s- air entry Rt infrascapular area.CVS-Tachycardia, s1s2 +. CNS-NAD Inv:Hb-9.8gm% ,HCT-49 ,Platelet count-10000 USG:Gall bladder distended Moderate Ascitis, Mild Pleural Effusion 12