DECISION POINT: Diagnosis & Initial Management

DECISION POINT: Diagnosis & Initial Management

Nurse Rina asks, "Doc, the results are extremely high. What should I do? Is this just viral hepatitis? Do I continue the TB drugs?"

"Reduce the anti tuberculosis drug 4-FDC dose to half. Let's monitor for 3 more days. Maybe his liver is just need some adjusting dose.
"Such high AST/ALT must be a severe infection, possibly cholangitis. Stop the anti tuberculosis drug and start broad-spectrum antibiotics immediately."
"This is a severe Drug-Induced Liver Injury (DILI) from the anti tuberculosis drug.
"This is likely a coincidental acute viral hepatitis. Continue the anti tuberculosis drug to prevent resistance. Give a liver supplement and refer for hepatitis serology.

Map: Yellow Skin and Worsened Cough (1129)
Node: 21488
Score:

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Ask the patient to walk or change position (risk of falling).
Predlagaš, da bi bi bil sejem v nedeljo ob enajstih zvečer.
To protect us from any spills. White is a colour where most spillages are visible depending solution colour
O pai dele está a tentar cozinhar.
Για να προστατεύουμε τα ρούχα μας από κάτω. Το λευκό είναι ένα κοινό χρώμα που μπορείτε να το βρείτε σε κάθε χώρα.
To protect our clothes underneath. White matches with any skin colour tone
Continue the consultation with what it is
Ioan este tatăl.
Cyclizine
He is mad and doesn’t speak to her.
Su madre va a estar bien.
Node 19: Sharing Success Stories
Observación bajo el microscopio (célula vegetal)
DECISION POINT: Diagnosis & Initial Management

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