Chief Complaint * A 65Y/O/F c/o severe headache, fever, chills, dry cough, blurred vision (from 6 days), pain in right face and arm. She also complained of tiredness and anxiety. Past Medical History DM, COPD, HTN. Recently she traveled outside her hometown. Examination Red and swollen face. Swollen arm. Difficulty in chewing food. Painful movements. Continuously coughing and spitting out mucus. Vital Temp 101°F, BP 140/90 mmHg. * Lab report shows HB < 8g/Dl, leucocyte count <3400/Ul, neutrophils <1440, alkaline phosphatase 50 U/L, AST 158 U/L, ALT 61 U/L, MCV 101 fl, BUN 18 mg/dL, creatinine 13.5 mg/dL. Diagnosis Give your opinion Management How to proceed with the case?

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R/o covid

Dear Doctor,Please mention about Urine output..Platelets?? Do USGAbdomen,Chest X ray.. Send S.PCT,CRP,ANA by IF,C-ANCA,P-ANCA..

REPORTS SHOWS SEVERE ANEMIA WITH LEUCOPENIA WITH NEUTROPHOLIA WITH ARF ??VIRAL FEVER WITH DIABETIC NEPHROPATHY WITH HEPATITIS SHE NEEDS, IMMEDIATE HOSPITALIZATION IN ICCU DO, ALL THE OTHER BLOOD INVESTIGATION CXR,HRCT CHEST,ABG,COVID-19 RT-PCR,ECG,2D-ECHO. URGENT HEMODIALYSIS OPINION OF CHEST PHYSICIAN OPINION OF NEPHROLOGIST REST, INTENSIVE ROUND THE CLOCK MONITORING IN ICCU WITH W/O FOR TPR/BP INPUT & OUTPUT.

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