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Showing posts from October, 2020

Bimontly GM OCT-7 examination

   CASE-2 A 54 year old male with cough,abdominal tightness,pedal edema and diarrhea. https://sainiharika469.blogspot.com/2020/09/hello-everyone.html?m=1 1) Why were his antitubercular therapy stopped soon after his current admission? Was he symptomatic for ATT induced hepatitis? Was the method planned for restarting antitubercular therapy after a gap of few days appropriate? What evidence is this approach supported by?  Ans)In his history after starting of the ATT drugs for 3day's his symptom's of abdominal distension and shortness of breath increased for which he presented to our hospital.On admission his LFT was deranged, icterus was evident so ATT was stopped The method planned for restarting the ATT was to start with ethambutol then after the other ATT drugs Once there is evidence of acute hepatitis in a patient receiving ATT, it is essential to immediately stop all potentially hepatotoxic drugs such as INH, RIF, and PZA till complete clinical and biochemical resolut...