Rule of 2 diagnosis | infections | Dr Arvind Kumar

Complicated Malaria

HUS

Cerebral malaria.

Cerebral malaria

Malaria

Malaria

Cerebral malaria, cholangatis (Raynaud pentad)

Hepatic encephalopathy

Why not septic shock with MODS?

Hepatic encephalopathy

Hepatic encephalopathy

Complicated malaria is a possibility

Septic shock

Hepatic encephalopathy

Hepatic encephalopathy

Hepatic encephalopathy

Sepsis with septic shock

SEPTIC SHOCK LEADING TO MODS

Hepatic encephalitis

D/D
Severe malaria(cerebral malaria)
Severe dengue
Leptospirosis
Sepsis with MODS
Rickettsia
Viral hepatitsi with fulminant hepatic failure

Acute liver failure:- causing seizure( due to cerebral edema leading to increased Intracranial pressure), Jaundice, hypotension ( due to splanchnic vasodilation leads to decreased preload and hence decreased cardiac output).

Hepatic encephalopathy

Lactic Acidosis

Acute liver failure with Hepatic encephalopathy

Severe malaria by P.F

Icterohemorrhagic fever( Leptospira)

Cerebral malaria.

Reye’s syndrome is a rare condition that typically occurs in children and is associated with aspirin use during viral infections, leading to acute hepatic failure and encephalopathy.

H E

Cerebral malaria

Cerebral malaria

Cerebral malaria

😊😊

cerebral malaria

HE

Leptospirosis

Cerebral malaria

What is your diagnosis?

Complicated malaria

Hepatic encephalopathy

Final ans sir pls tell

Acute exacerbetion of chronic liver failure
With decompasation features like hepatic encephalopathy, icterus ,hyportension due to decrease of albumin

Cerebral malaria 💯

Severe sepsis
Cerebral malaria

Hepatic encephalopathy