1. 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. 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

3. O/E PR-120/min feeble,BP-80/0
3.Laxmi/ 6yrs / F/ / 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. 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

5. vomiting,headache-1day O/E PR-100/min ,BP-90/60mmhg
5.Janani / 6yrs /F / / 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 ,Platelet count-79000
X –ray-Rt sided pleural effusion
USG: Normal study 12

6. 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