24 YRS OLD MALE COMPLAINTS OF FEVER SINCE 1WEEK

 24 yrs old male complaints of fever since 1 week, black coloured stools since 2 days, giddiness since 1 day

Patient came with c/o high grade fever since 1 week associated with chills intermittent,went to RMP and took some injections later fever subsided 1 day ago

C/o black coloured stools since 2 days

C/o giddiness since 1 day.

No c/o vomiting,loose stools,cold, cough, shortness of breath, burning micturition,rashes, body pains.


Past History:- not a k/c/o DM,HTN,CAD.

Vitals:-

Temp- 98.3oF

PR- 98bpm

RR- 20 cpm

BP- 110/80 mmHg

Spo2- 98% at RA

General examination:-

Patient is conscious, coherent, cooperative

No signs of Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy or Edema.












Systemic examination:-

CVS-s1s2+

RS- BAE+,NVBS

CNS- NAD

P/A-soft , non tender,BS+

Provisional diagnosis:- 

Dengue fever with thrombocytopenia( NS +)


INVESTIGATIONS:-


X-ray:



Ecg:



USG:














TREATMENT:-

1 IVF NS,RL,DNS- @100 ml/hr.

2 Inj pantop 40 mg IV OD

3 W/F postural hypotension, bleeding manifestations

4 tab doxycycline 100 mg po BD

5 Inj optineuron 1 amp IV OD in 100 ml DNS

6 BP,PR 4th hourly

7 Temp charting 4th hourly

8 GRBS 12th hourly.












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