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Prolonged Fever: Thromboembolism, Guillain-Barre, Brucellosis
Explore the complexities of diagnosing prolonged, undiagnosed cases of fever through the Durak and Street classification system. Learn to recognize warning signals that indicate serious underlying conditions. Delve into the investigative process necessary for these challenging cases. This session presents two intriguing case studies. The first involves a woman with a 40-day history of fever, initially showing ECG findings suggestive of pulmonary thromboembolism (PTE), but ultimately diagnosed with Guillain-Barré syndrome, with further complications contributing to her prolonged fever. The second case explores a patient admitted with a 15-day fever, severe headache, body pain, and joint pain, leading to a final diagnosis of brucellosis after thorough investigation. Join us to gain a deeper understanding of the diagnostic challenges and treatment strategies for prolonged fever, enhancing your ability to manage such complex cases in clinical practice.
About the Speaker

Dr. Shubhangi Kamble
Consultant Ano rectal Surgeon, Aayush Hospital Dharavi, Mumbai
Upcoming Case Discussions
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Massive Transfusion Protocol (MTP) is a standardized medical procedure activated in cases of severe hemorrhage, typically involving the rapid administration of large volumes of blood products. The goal is to restore circulating volume, maintain hemostasis, and prevent the lethal triad of hypothermia, acidosis, and coagulopathy. MTP usually involves a balanced ratio of packed red blood cells, plasma, and platelets, often in a 1:1:1 ratio. Early activation and coordination among trauma teams, laboratory services, and blood banks are essential for its success.
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