MAN 25 YO WITH 3 DAYS FEVER AND EPIGASTRIC DISTENTION.
ULTRASOUND FIRST :
US 1: HEPATOMEGALY.
US 2: GALL BLADDER WALL IS THICKENING 3 MM NO STONE.
US 3: FLUID IN MORRISON SPACE ( LIVER KIDNEY SPACE).
US 4: FLUID AROUND RIGHT KIDNEY.
US 5: IN PELVIS BIG VOLUME OF ASCITES.
US 6: NORMAL SPLEEN WITH FLUID IN HILUS.
CHEST X-RAYS SHOWS SMALL FLUID IN COSTO-PLEURAL SPACE.
BLOOD TESTS SHOW WBC HIGH, CRP HIGH PLATTELETS DROPPED TO 19K.
ELISA DENGUE FEVER TESTS POSITIVE FOR IgG AND IgM.
EMERGENCY ADMISSION IN INFECTIOUS TROPICAL HOSPITAL.
REFERENCES:
Role of ultrasound in Dengue hemorrhagic fever in Vietnam
http://www.vusta.vn/vi/news/Thong-tin-Su-kien-Thanh-tuu-KH-CN/Gia-tri-cua-sieu-am-bung-trong-sot-xuat-huyet-Dengue-21155.htmlUltrasound Findings in Dengue Hemorrhagic Fever
No comments:
Post a Comment