16 yr old patient, primigravida, 32 wks of pregnancy, a diag
Dr. pallavi kashyap
16 yr old patient, primigravida, 32 wks of pregnancy, a diagnosed case of systemic lupus erythmatosus with a history of flare during 2nd trimester, presented with fever and anemia to us in opd. Patient got admitted, workup was done Hb 9.5, TLC 5400, platelets 2.1 lakhs, Urea 12, S. Creat 0.7, total s. Proteun 6.6, total albumin 3.3, total bil 0.7, conj bil 0.3, AST 32, ALT 20, ALK phosphatase 353, ANTI RO +VE, ANTI LA - VE, BETA 2 MICROGLOBULIN 3.3, C3 29, C4 2, ANA HEP 2 +VE, DIRECT COOMBS TEST +VE, Maternal ECHO NORMAL, FETAL ECHO NOT DONE, USG KUB NORMAL, USG UPPER ABDOMEN MILD HEPATOMEGALY PRESENT, USG FPP ON 10 JULY 2019 SHOWS SLF 29wks, FM FT NORMAL, LIQUOR ADEQUATE, PLACENTA ANT GRADE 2, EFW 1420 gm, FHR 148 bpm, Os closed. Currently she is on T FS,, TAB DOXINATE, TAB UDILIV 300mg BD(PREVIOUSLY DERRANGED LFT) TAB ECOSPRIN 75, TAB FOLIC ACID, SUSTEN GEL BD, DEPIG CREAM 2%...PLZ PUT YOUR INPUTS IN THE CASE
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