A 42 year old female with a sore throat and fever. diagnose
A 42 year old female with a sore throat and fever. diagnose with acute tonsillo-pharyngitis caused by group A hemolytic Streptococcus. advised her to be admitted
Day 1 IVF started with D5LR 1 li at 60 gtts/min
Meds started;
Paracetamol 500mg PO q 4 hrs for fever
Cefuroxime 750mg ivtt q 8hrs (ANST)
Bactidol oral gargle

Labs;
CBC, urinalysis, throat C/S


Day 2 patient is highly febrile T= 40c with 20cc/hr of urine output
IVF; 500cc run at fast drip


Day 3 patient had dyspnea and and puffy eyelids,



what will be next management?
what were the laboratory test to be requested and their rationale
Dr. s●●●d d●●●h and 2 other likes this
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G●●●●m K●●●r
G●●●●m K●●●r Cardiology
Send for pharygeal swab culture and start azithromycin and clavum.
Aug 19, 2018Like4
G●●●●m K●●●r
G●●●●m K●●●r Cardiology
Keep pt hydrate
Aug 20, 2018Like
C●●●●●a S●i
C●●●●●a S●i General Medicine
Ecg,2D-echo
Aug 20, 2018Like