Conversation: The conversation between human and AI assistant.
[|Human|] My daughter aged 5.6 yrs has got fever from last sunday(16-sept)& had high temperature till Tuesday (18-Sept). She was fine & active on Wednesday(19-sept). On 20th morning, she had sever pain on leg muscles. We consulted a doctor & as he advised, we took Blood & Urine test. Report on 20-Sept-2012 ALKALINE PHOSPHATASE. 147 U/L; SGPT 12 U/L; UREA, SERUM 23.5 mg/dL; CALCIUM 9.5 mg/dl; CPK,SERUM 353 U/L; BLOOD ROUTINE EXAMINATION: HB 14 gm% ; TC 2,800 Cells/cumm , DC P-44-58, L-37-47, M-3-7, E-1-5; Neutrophils 50%; Lymphocytes 44%; Eosinophils 2 %; Monocytes 4 %. ESR 3 mm/hr; PCV 41.8 %; PLATELET COUNT 1.5 Lakhs/Cumm URINE ROUTINE EXAMINATION PROTEIN NIL;SUGAR NIL;BILE SALT NEGATIVE;BILE PIGMENT NEGATIVE;BLOOD NEGATIVE;KETONE NEGATIVE;UROBILINOGEN NORMAL;PH 5.5;SPECIFIC GRAVITY 1.030; DEPOSIT ..... PUS CELLS OCCASIONAL; ..... RBCS NIL; ..... EPITHELIAL CELLS OCCASIONAL; ..... CRYSTALS NIL; ..... CASTS NIL; BACTERIA NIL; Report on 22-Sept-2012 CPK,SERUM 1412 U/L ; SGOT 87 U/L; SGPT 29 U/L HB, TC, DC HB 13.9 gm % ;TC 2,300 cells/ cumm ; DC P44-58,L-37-47, M-3-7,E-1-5; Neutrophils 30%; Lymphocytes 66%; Eosinophils 2%; Monocytes 2%; PCV 41.4 % ;PLATELET COUNT 1.3 Lakhs/Cumm Will you please guide us on wat to do next? Note- We live in India
[|AI|]  Hello dear, it seems she has streptococcal infection. For differentiation, you should also give antistreptolisin -O, IGM, G to Chlamydia trachomas, uric acid, reumatoid factor, throat culture and sensitivity to antibiotics. Amoksiclav, ibuprofen should be given for 10 days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby good health.