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238 Medicine

A boy presented with a history of fever, headache and vomiting since 3 days and disorientation since I day. On examination, neck rigidity was positive. He also had 1 episode of generalized tonic clonic seizures (GTC) and then he became unconscious. CECT was found to be normal. CSF examination reveals a cell count of 300 cells/mm3 (polymorphs: 50-70%), protein 70 mg/dL, sugar 50 mg/dL (blood: 95 mg/dL). Which of the following is the most likely diagnosis?

APyogenic meningitis
BTubercular meningitis
CHerpes encephalitis
DCerebral malaria
Medicine
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241 Medicine

40-year male patient who was a known smoker presents in AIIMS OPD with fever, latigue, jaundice, yellow colored urine with clay colored stools. For the past few days he had developed aversion to cigarette smoking. On examination scleral icterus was present. LFT are:Total Bill18.5Direct Bill7.5SGOT723SGPT812What investigations will you send for ruling out acute viral hepatitis?

AHBsAg, IgM antiHBC, AntiHCV AntiHEV
BAntiHAV, HBsAg, IgM antiHBc, AntiHCV
CHBsAg, IgM antiHBC,AntiHDV AntiHCV AntiHEV
DAntiHAV IgMantiHBC, AntiHCV, AntiHEV.
Medicine
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