PakMediNet Discussion Forum : Medicine : What will be diagnosis?
What will be diagnosis?21 year presented unconscious wid 7 day H/O high grade fever and 2 days drowsiness. Examination: Pulse 120/min, B.P 100/70, temp 103 F, Jaundice +, Coma grade IV, Hb 8.9g/dl, Bilirubin 2.9mg/dl, SGPT 65iu, Alk phosphatase 102 iu, CXR , ECG and RPM and electrolytes are normal. If differential is possible then uptill 3 is workable. thank u.
Posted by: omesam Posts: 13 :: 05-03-2008 :: | Reply to this Message
Re: What will be diagnosis?The patient is male or female?
Posted by: imtiazk Posts: 56 :: 05-03-2008 :: | Reply to this Message
Re: What will be diagnosis?
I would think of:
Cerebral Malaria
Leptospirosis
Acute Hepatic Failure with Encephalopathy
Bacterial Meningitis with Sepsis and Hypotension
Posted by: yasir Posts: 90 :: 06-03-2008 :: | Reply to this Message
Re: Re: What will be diagnosis?
quote:
Acute Hepatic Failure with Encephalopathy
Posted by: imtiazk Posts: 56 :: 06-03-2008 :: | Reply to this Message
Re: What will be diagnosis?Bilirubin + raised liver enzymes means hepatitis which can be due to infection, sepsis or hypotension (shock liver). All these conditions can lead to liver failure and Encephalopathy.
Posted by: yasir Posts: 90 :: 07-03-2008 :: | Reply to this Message
Re: Re: What will be diagnosis?plz be specific to the case not the theory.
Posted by: imtiazk Posts: 56 :: 07-03-2008 :: | Reply to this Message
Re: What will be diagnosis?I think I am talking about the above case.
Posted by: yasir Posts: 90 :: 09-03-2008 :: | Reply to this Message
Re: What will be diagnosis?Hepatic encephalopathy precipitated by sepsis.
Posted by: omeir_136 Posts: 4 :: 10-03-2008 :: | Reply to this Message