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On examination
P-101/min Bp 100/70 temp100'f SaO2 94%
Pallor+
CNS:concuious,drowsy,confused
Gcs13/15 no sensory motor deficit
P/A:soft tender flank region no VM
Rest of the systemic examination was unremarkable
The patient was admitted with above complaints
She was started on fluid we maintianed her intake output with 4hourly RBS and temp record and send her baseine labs,which showed raised TLc and numerous pus cell in urine R/E the patient was started on meropenum and regarding her abdominal tb we couldn't find any evidence so ATT was stopped (7 months taken) after comsulting pulmonologist and hee said when the creat normalize do ct with contrast with intention of lymph node biopsy
Her cultures are still pending,urine AFB is negative and U/S abdomen is clear with decrease in temp and now being sent home on medication
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