Race: Igbo Nigerian
History of present illness:
Four days history of fever, abdominal pain, diarrhoea and vomiting followed by 3-days of constipation.
Past surgical history:
IV fluids and antibiotics
Habits in a thphoid endemic area.
Weak, pale and dehyrated. No pyrexia or jaundice. Tachycardia, tachypnoea and absent bowel sounds.
Head, ears, eyes, nose & throat:
Stony dullness and reduced breath sounds L lower zone.
Full, tender hepatomegaly, splenomegaly 3 cm, ascites present, absent bowel sounds.
Rectum contained formed faeces.
Potassium 3.4mmol/L, Urea 12mmol/L in a background of dehydration. Haematocrit 15%.
Left basal pleural effusion.
Paralytic ileus, ascites, hepatomegaly
Plan of treatment:
Pending further investigations
Results of treatment:
So far patients is stable. Bowel motion resumed after rehydration and K therapy.
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