Page 1 of 4: A patient had fever for 2 weeks, bradycardia, ‘tip’ splenome

upscman · Credits: 2458 My Scrapbook

A patient had fever for 2 weeks, bradycardia, ‘tip’ splenomegaly. Chest X-ray shows pneumonitis. Next investigation should be:
A. Enterovirus
B. Blood culture
C. Widal
D. Weil-Felix test

akanksha' · Credits: 78895 My Scrapbook My Reading List 262569 Books

Widal

kavithatalari · Credits: 144 My Scrapbook

Widal test is the answer
Antibody titre is also useful to type the organism
Stool culture is diagnostic in the first week of illness

dr_jekyl · Credits: 153 My Scrapbook

though obvious answer is 'Widal',emphasis should also be given to blood culture!!!

orth · Credits: 115 My Scrapbook

since 2 weeks has been mentioned there widal test is the expected answer.

drmuss · Credits: 103 My Scrapbook

the answer must be blood culture.

Widal and weil felix is actual the similar test.
By the way the WWf can be used as diagnostic with one test. it need to be done twice ... wwf is a paired sera test

manpreet108 · Credits: 30682 My Scrapbook

antibody titre starts rising towards the end of first week.so widal test wd b negative during first wk.

Blood culture + in 90%in first wk and 75%in 2nd wk.since widal more sensitive in 2nd wk-
at this point -widal shd b done.

prodipto · Credits: 300 My Scrapbook

widal...is the ans.

deepsea · Credits: 692 My Scrapbook

Widal ofcourse, but why not blood culture?

Is widal reliable as a diagnostic test?

drlouis · Credits: 5374 My Scrapbook

equal importance should be given to blood cultue and widal (clinical medicine is not just one solid investigation as in mcq)-u can still find brucella in the blood. harrison says nothing much about widal either.

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