49 yrs female presented in my hospital with the complaint of severe abdominal pain/ restless/ altered sleep/constipation. I advised abd USG & given injection dynapar stat. Findings- CLD AKD HYPOCALCEMIA HYPERKALEMIA MALENA (Lower GI bleed) DISTANDED ABDOMEN ANAEMIA PORTAL HYPERTENSION Vitals BP-130/90 PR-120/Min RR-20/Min SPo2-98% Chest-no added sound Ultrasound and lab reports are attached, Need your opinion to manage this pateint.

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    Dr. Sunita

    In my opinion ,go for CBC and Widal tube test,to diagnose typhoid ,start Inj 1 gm Monocef iv twice a day for 10 days and tab sporolac ds 1 tab once a day ,with NBM,and iv fluid

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