Scurvy

Clinical Features:

• feel very tired and weak all the time.
  
• feel irritable and sad all the time.
  
• have severe joint or leg pain.
  
• have swollen, bleeding gums – sometimes teeth can fall out.
  
• develop red or blue spots on the skin, usually on your shins.
  
• have skin that bruises easily.
  

investigation :

• X-ray limbs including joints 
  
• CBC with PBF
  

Rx: 

1. Syrp.Ascoson(100mg/5ml)

1 Tsf ...Two times daily.......15 days

OR

2-3 Tsf oranges or tomato juice daily.....1 month 

 Special Note:

• ১-৩ দিনের ভিতর রোগী clinically improve হবে।
  
•  X-ray change আসতে ২-৪ সপ্তাহ লাগবে।