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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Fever And Abdominal Pain?

2 weeks ago , i had abdo pain, fever for 3 days. went to doctor, prescribed cipro 500mg bd for presumed uti. 3 days later admitted to hospital , abdo pain, fever , rigors. crp 350, ct ,ultrasound of abdo, mrcp outruled gall stones, obstruction etc. pylonephritis (urologist felt secondary , not cause of infection). continued cipro , iv gentamycin x 3 days. blood , urine cultures etc all negative. yesterday crp 24 but lfts raised significantly, microbiologist said to have cipro x 7 more days. discharged home yesterday, now temp 37.9, abdo pain back , some back pain. pain across centre of abdomen. any thoughts welcome.
Fri, 4 Apr 2014
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General Surgeon,  's  Response
HI. Gone through the history.
2 Weeks : fever and pain in abd- cipro- admission- pain , fever, RIGORS, CRP - investigations- genta- crp reduced- LFT elevated- pain- backpain- center of abd...
I would advise such a patient...
Repeat ultrasonography for pancreas, hepato-billiary. Widal for typhoid, slide and antibody test of malaria.
Add Metronodazole 400 mg thrice daily- immediate clinical response suggestive of an added amoebic hepatitis and will give complete response within 5 to 8 days.
Blood culture may help. I would change to another / add another antibiotic. And adjust according to reports.
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What Is The Treatment For Fever And Abdominal Pain?

HI. Gone through the history. 2 Weeks : fever and pain in abd- cipro- admission- pain , fever, RIGORS, CRP - investigations- genta- crp reduced- LFT elevated- pain- backpain- center of abd... I would advise such a patient... Repeat ultrasonography for pancreas, hepato-billiary. Widal for typhoid, slide and antibody test of malaria. Add Metronodazole 400 mg thrice daily- immediate clinical response suggestive of an added amoebic hepatitis and will give complete response within 5 to 8 days. Blood culture may help. I would change to another / add another antibiotic. And adjust according to reports.