Conversation: The conversation between human and AI assistant.
[|Human|] 16 year old weight 39 kgs,my daughter is asthamatic,uses seraflo rotocap,montec lc,as prescribed regularly.she had fever since last three four days,coplaining pain in legs,waiste,and sometimes in wrists.her cbc report is as -HAEMOGLOBIN-8.7 GM/DL,TLC-18800 CELLS/CU.MM.,POLYMORHS-51%,LYMPHOSYTES-20%,MONOCYTES-03%,EOSINOPHILS-26%,BASOPHILS-00%,TOTAL RBC-4.80 MIL./CU.MM.,PLATELET COUNT-5.51 LAKHS/CU.MM,PCV-29.7%,MCV-61.9FL.,MCH-18.1PG.MCHC-29.3G/DL,RDW-15.3%.DOCTOR INITIALLY PRESCRIBED NIMUSULIDE+PARACETAMOL TABLETS ,VITAMIN D3 TABLETS,BUT STILL SHE COMPLAINED OF ACUTE PAIN IN HER FEET,WAISTE AND WRISTS,PALM.THEN DOCTOR HAS PRESCRIBED MEDRAL-16 MG TABLETS BID FOR ONE MONTH,DIAGNOSING SIGNS OF SEVERE INFECTION CAUSED BY VIRAL FEVER.KINDLY ADVISE AND SUGGEST YOUR OPINION.
[|AI|]  Hi, her investigation report says that she is quite anemic and her MCV is also mildly reduced, so she must improve her diet adding vitamin Complex, iron and folic acid. Her eosinophil count is high indicating some allergic condition which can be pollutant induced but can be due to other causes, so you should go for complete panel allergen test and also microscopic examination of blood film to rule out microfilariae as it is one of the common cause of eosinophilic. She should avoid exposure to all the allergen as much as possible. She should also take some antibiotics like ampi-cloxa or amoxi-clavum or azithromycin. Inhaler should be taken as prescribed for her, she can consult some physiotherapist for pain management, or you can even meet an orthopedic if needed and go for its management. Thanks and with regard.