Posted On :
07 Jun 2017
i have one patient 5 yrs old male child weighting 17 kg c, o pain in lower limb {muscular} 20 days, backache since 10 days , pain in abdomen generalised since 5 days, decreased apetite, fever low grade since 5 days, now c, o pain in left thigh .on examination vitals normal no rash no generalised lymphadenopathy , no hepatosplenomegaly, investigations are
hb 9, tlc 9000, plt 3.2lakh, esr 107, mp negative
mountox test negative
usg abdomen s, o minimal free fluid,mesentric lymphadenopathy, bowel wall oedema,
ra factor negative, crp 13 which is positive
lft and rft normal
x ray chest and both hip joints normal
kindly give your opinion for management
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