16 years old male patient with low grade fever
A 16 years old male patient who is a student
presented to the opd with a cheif complaint
of fever since three days which is intermittent low grade and not associated with chills which is relieved on medication he also has pain in abdomen since four days which is intermittent and kf squeezing type and also sufferjng from vomitings 2 episodes for day which is non bilious and non projectile he also has nausea an not associated with rashes
History of present illness:
Patient is associated with low grade fever
and is intermittent
Fever is not associated with chills and rigors
History of past illness:
There is no history of diabetes mellitus hypertension asthma tuberculosis epilepsy
There is no history of surgery
Personal history:
Sleep adequate
Patient has no loss of appetite
He takes mixed diet
His bowel Ms bladder movements are normal
He has no addictions
Low socio economic status
Family history:
No history of DM, hypertension,CAD,CVA or
similar complaints in the family
Treatment history:
No history of drug allergy
General examination:
Patient is conscious coherent and cooperative
No pallor
No clubbing
No icterus
No cyanosis
No lymphadenopathy
Vitals:
Temperature -afebrile
Pulse rate-67/min
Bp-110/70
Systemaic examination:
Cvs- s1 s2 are heard
Respiratory:
No dyspnea
No wheezing
Position of trachea central
Breath sounds vesicular
Abdomen:
Scalloped abdomen
No tenderness
No palpABle mass
CNS:patient is conscious
Speech normal
Provisional diagnosis:viral pyrexia and
thrombocytopenia
Secondary to NS1 positive
Hemogram -
M. P Strip test
Serum creatinine -
Blood urea -
Serum electrolytes -
Random blood sugar -
ECG -
Treatment:
PantopraZole-40mg IV
Zofer-4mg Iv
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