Dr. Arvind Kushwah (Pediatrics) needs a second opinion on this medical case.
A 10 yr old child ,k/c/o Sickle cell anemia presented with c/o Fever since 5 days. O/E pallor +++, Periorbital edema +, Afebrile, Tachypoic, abdoment moderately distended, hepatosplenomegaly +. BP -170/110, Investigations- hb 4.5, wbc normal, s.albumin- 3.15, S.creatinine-0.5, s.urea 26, usg -hepatosplenomegaly , thick walled gall blades with mild ascites and b/l pleural effusion. Antibiotics , 3blood transfusion given,Lasix started . Kindly suggest further management