One thing is that if you are searching for a student loan you may find that you will want a co-signer. There are many conditions where this is correct because you might discover that you do not possess a past credit standing so the loan provider will require that you’ve someone cosign the financial loan for you. Good post.
The core of your writing whilst sounding agreeable originally, did not really settle well with me after some time. Someplace within the sentences you actually were able to make me a believer unfortunately only for a very short while. I however have a problem with your leaps in assumptions and one would do well to help fill in all those gaps. If you actually can accomplish that, I would definitely end up being impressed.
Needs to be investigated further as hav is cross reactive in many autoimmune conditions
Acute liver failure can occur
8 yr old girl with multisystem inv in form of acute diarrhoeal illness with petechial rash with wet purpura with hepatomegaly with normal vitals more likely to be some immune realted complication may be connective tissue disorder or mis-c
Muddy sclera in one eye in old people
Sle
Hemolysis jaundice will be unconjugated
Multisystem involvement more likely to be mis-c
Child with acute abdomen with petechial spots with conjugated hyperbilirubinemia may be secondary to immune related complication of viral illness
Dpt
Influenza
Polio
E occurs in combination with other hepatitis
Why no prodrome was present if hepatitis a is considered in this patient.!!
Yellow urine may be some drugs
May be conjugated hyperbilirubinemia
May be immune related complication of some viral infection
Kindly repeat jaundice part again
Wt bearing area so more prone for rash
Porphyria may be considered as pain abdomen and rash is there but usually they have high colored urine also
Hsp less likely as the distribution of rash not typical of hsp and also jaundice which was noticed later not typical in hsp
May be itp
May be henoch scholein purpura
Or dengue with warning signs if fever initially was not noticed by parents.!!
Or leptospirosis as jaundice also there
Or meningococcemia.!!
DIAP India
80 replies on “IAP Action Plan 2021 – PG Clinic (28th December 2021)”
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One thing is that if you are searching for a student loan you may find that you will want a co-signer. There are many conditions where this is correct because you might discover that you do not possess a past credit standing so the loan provider will require that you’ve someone cosign the financial loan for you. Good post.
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The core of your writing whilst sounding agreeable originally, did not really settle well with me after some time. Someplace within the sentences you actually were able to make me a believer unfortunately only for a very short while. I however have a problem with your leaps in assumptions and one would do well to help fill in all those gaps. If you actually can accomplish that, I would definitely end up being impressed.
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Sle needs to be ruled out
Needs to be investigated further as hav is cross reactive in many autoimmune conditions
Acute liver failure can occur
8 yr old girl with multisystem inv in form of acute diarrhoeal illness with petechial rash with wet purpura with hepatomegaly with normal vitals more likely to be some immune realted complication may be connective tissue disorder or mis-c
Muddy sclera in one eye in old people
Sle
Hemolysis jaundice will be unconjugated
Multisystem involvement more likely to be mis-c
Child with acute abdomen with petechial spots with conjugated hyperbilirubinemia may be secondary to immune related complication of viral illness
Dpt
Influenza
Polio
E occurs in combination with other hepatitis
Why no prodrome was present if hepatitis a is considered in this patient.!!
Yellow urine may be some drugs
May be conjugated hyperbilirubinemia
May be immune related complication of some viral infection
Kindly repeat jaundice part again
Wt bearing area so more prone for rash
Porphyria may be considered as pain abdomen and rash is there but usually they have high colored urine also
Hsp less likely as the distribution of rash not typical of hsp and also jaundice which was noticed later not typical in hsp
Coombs negative hemolytic anemia
microangiopathic hemolytic anemia thrombocytopenia
Bcz of mechanical destruction of rbcs
Strept pneumonia
H7 O157
The distribution of rash also not typical of hsp
Or may be mis-c as multisystems are involved.!!
May be itp
May be henoch scholein purpura
Or dengue with warning signs if fever initially was not noticed by parents.!!
Or leptospirosis as jaundice also there
Or meningococcemia.!!
HSP