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PROF.DR.G.SUNDARAMURTHY’S  UNIT -DR.K.SENTHAMIZH SELVAN AN INTERESTING CASE OF FEVER
[object Object],[object Object],[object Object],[object Object],CASE DETAILS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HISTORY
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
ON EXAMINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PROBLEMS ,[object Object],[object Object],[object Object],[object Object]
POSSIBILITIES ,[object Object],[object Object],[object Object]
WORK UP  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CBC 14/12/10 28/12/10 7/1/11 TC 4,200 3,100 2,200 DC P64/L35/E1 P66/L33/E1 P56/L34/E10 RBC  count 3 million/cumm 2.6 million/cumm 1.8 million/cumm Hb 9.4gm% 8.7gm% 7.4gm% ESR 20/38 28/56 80 Platelet count 2.4 lakh/cumm 1.8lakh/cumm 1.3lakh/cumm
PERIPHERAL SMEAR  23/12/10 2/1/11 Normocytic ,normo chromic anaemia  Platelets adequate Shift to left,no blasts Normocytic,hypochromic RBC s Platelets adequate Shift to left  No blasts
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHEST X RAY
FEVER PROFILE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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USG  ABDOMEN  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CECT  ABDOMEN
 
DIFFERENTIAL  DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BONE MARROW STUDY ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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[object Object]
USG GUIDED FNAC ,[object Object],[object Object]
PROBLEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
FINAL DIAGNOSIS ,[object Object]
[object Object]
FOLLOW  UP  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FEW CASE REPORTS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPLENIC TUBERCULOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical presentations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CARRY HOME POINTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
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A Case of Splenic Tuberculosis

  • 1. PROF.DR.G.SUNDARAMURTHY’S UNIT -DR.K.SENTHAMIZH SELVAN AN INTERESTING CASE OF FEVER
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  • 14. CBC 14/12/10 28/12/10 7/1/11 TC 4,200 3,100 2,200 DC P64/L35/E1 P66/L33/E1 P56/L34/E10 RBC count 3 million/cumm 2.6 million/cumm 1.8 million/cumm Hb 9.4gm% 8.7gm% 7.4gm% ESR 20/38 28/56 80 Platelet count 2.4 lakh/cumm 1.8lakh/cumm 1.3lakh/cumm
  • 15. PERIPHERAL SMEAR 23/12/10 2/1/11 Normocytic ,normo chromic anaemia Platelets adequate Shift to left,no blasts Normocytic,hypochromic RBC s Platelets adequate Shift to left No blasts
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