Question of the Week

Question :
Posted On : 31 Oct 2008
A 12 year old hiv positive female presented with progressive abdominal distention since a year and severe short stature. No history suggestive of cns, cvs or hematological system involvement. There was admission for 7 days at 6 yrs of age for fever {details not available}. Father died of kochs 5 yrs back. Mother died postpartum- cause not known. Younger sib also expired. Paient is severely short statured with height age-6yrs and weight 17 kg. She has huge {17cm} spleen. Left lobe liver is palpable 5 cms in mid sternal line. Hemoglobin is 6, peripheral smear-hypo micro, wbc and platelet-wnl. Bili 1.3. Bone age more than 12yrs. Osteopenia on X-ray. what working diagnosis to keep in this case? How to investigate further?
5
Expert Answer :
No expert answer available.
Answer Discussion :
S
sombat ratchata
Profile
blood for hemoculture, Calcium, Phosphate, calcitriol, parathyroid hormone,CD4, abdominal ultrasonography,
stool for AFB, chest x-ray, tuberculin skin test, sputum for AFB x 3days,

16 years ago
S
Sabri Sakrana
Profile
further investigations have to be done, Hb.electrophoresis, Kidney Functiion tests,S.Proteins, CXR, infection screen
16 years ago
D
Doctor. Hany
Profile
Hb electroporesis to rule out SCA
16 years ago
A
Amber Fatima
Profile
lymphoma
16 years ago
K
kholood alfrag
Profile
tuberclosis further investigation ct abomen
16 years ago




Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0