What will be diagnosis?

21 year presented unconscious wid 7 day H/O high grade fever and 2 days drowsiness. Examination: Pulse 120/min, B.P 100/70, temp 103 F, Jaundice +, Coma grade IV, Hb 8.9g/dl, Bilirubin 2.9mg/dl, SGPT 65iu, Alk phosphatase 102 iu, CXR , ECG and RPM and electrolytes are normal. If differential is possible then uptill 3 is workable. thank u.

Posted by: omesamPosts: 13 :: 05-03-2008 :: | Reply to this Message

Re: What will be diagnosis?

The patient is male or female?

Posted by: imtiazkPosts: 56 :: 05-03-2008 :: | Reply to this Message

Re: What will be diagnosis?

I would think of:

Cerebral Malaria
Leptospirosis
Acute Hepatic Failure with Encephalopathy
Bacterial Meningitis with Sepsis and Hypotension

Posted by: yasirPosts: 90 :: 06-03-2008 :: | Reply to this Message

Re: Re: What will be diagnosis?

quote:

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Acute Hepatic Failure with Encephalopathy

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What about bilirubin and the enzymes in this case?

Posted by: imtiazkPosts: 56 :: 06-03-2008 :: | Reply to this Message

Re: What will be diagnosis?

Bilirubin + raised liver enzymes means hepatitis which can be due to infection, sepsis or hypotension (shock liver). All these conditions can lead to liver failure and Encephalopathy.

Posted by: yasirPosts: 90 :: 07-03-2008 :: | Reply to this Message

Re: Re: What will be diagnosis?

plz be specific to the case not the theory.

Posted by: imtiazkPosts: 56 :: 07-03-2008 :: | Reply to this Message

Re: What will be diagnosis?

I think I am talking about the above case.

Posted by: yasirPosts: 90 :: 09-03-2008 :: | Reply to this Message

Re: What will be diagnosis?

Hepatic encephalopathy precipitated by sepsis.

Posted by: omeir_136Posts: 4 :: 10-03-2008 :: | Reply to this Message