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Age: 3 years Weight: 13 kg Medical History: Underdeveloped thyroid gland at birth, on Thyronorm 100 mcg, current level of TSH is 2.59 12.5 mcg July 4th: c/o of left-sided abdominal pain (lasting for less than a minute) with diarrhea x 3 started on enterogermina respules and sure of 50 (Ofloxacin Oral Suspension) 7 ml b.i.d. Diarrhea subsided from next day July 11th: Developed fever of 101, 102 recorded at home (104 recorded at the clinic) started on Deploclave DS 3.5 ml b.i.d. And Meftagesic 6 hourly. Fever subsided from next day. Otherwise active & playful. During July 15th and 25th: Observed bouts of constipation, c/o of abdominal and rectal pain while relieving (3 to 4 times). July 25th: Developed fever 101 (recorded at home), 102 (recorded at the clinic). Observed throat congestion, suspected tonsillitis. Consulting doctor ordered CBP, CRP and CUE and suggested to continue Deploclave DS 3.5 ml b.i.d. And Meftagesic as needed. CRP was 30 and monocyte 8, RDW 14, absolute lymphocyte count 4300. CUE pending because of delay in collecting the urine. Based on the abnormal readings, consulting doctor suggested admission to treat elevated levels of CRP. Query: Seeking second opinion on further course of action.


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