56 year old male with Generalised Lymphadenopathy.

A 56 year old male, daily wage labourer came with c/o

Pain abdomen since 20 days
Multiple masses per abdomen since 1 week
Fever (high grade) associated with chills and rigorous since 1 week.
History of presenting illness :
Patient was apparently asymptomatic 5 months back, then he developed dry cough which was sudden in onset, gradually progressive. Later he had fever - high grade, associated with chills and rigor.
He went to the hospital for the above complaints - fever was relieved with medications no replased after stopping the medicines.
Patient observed loss of weight and loss of appetite and 2 months later on advice of a govt doctor he got tested for Kochs and HIV - report was Positive and was Started on ATT and ART.
Vitals :
Temp - Afebrile
PR - 88 bpm
BP - 110/80 mm Hg
RR - 18 cpm
GRBS : 106 mg/dl

Lymphadenopathy + (Multiple palpable lymphnodes in neck and per abdomen)

P/A : soft, Non tender. Multiple lymphnodes palpable


Provisional diagnosis :
Fever with generalised lymphadenopathy 
?TB ?LYMPHOMA with RVD
Treatment GivenEnter only Generic Name)

TAR DOLO 650 MO PO TID 2 TAI DOLUTEGRAVIR  
LAMIVUDINE 
TENOFOVIR 
DISOPROXIL FUMERATE

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