Viral pyrexia with thrombocytopenia

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A 45 year old male came to opd with complaints of fever since 4 days,high grade associated with chills and relieved on medication and got subsided.

He also complaints of generalized body pains and headache

He has no h/o cold,cough

No h/o vomitings,loose stools 

No other complaints

Past history:

He has no h/o HTN,DM,TB,CVA,CAD,Asthma

No h/o similar complaints in the past

Personal history:

Appetite-normal

Diet:mixed

Bowel and bladder movements-regular

Occasionally takes alcohol

Family history:

No h/0 HTN,DM,TB,CVA,CAD,Asthma in the family

On examination patient is conscious, coherent and cooperative

No pallor,icterus,cyanosis, clubbing, lymphadenopathy,edema

Vitals:

Temp-98.8 degrees F

PR-70 bpm

RR-18 cpm

BP-130/90 mm Hg

Spo2:99%

CVS:s1s2+

RS:BAE+

      NVBS+

P/A: soft,non tender

CNS:NFD

INVESTIGATIONS:

Rapid dengue-negative

RBS-103

RFT:

Urea:13

Creat-0.8

Na-138

K-4.5

Cl-97

Ca-10

LFT:

T.B-0.60

D.B-0.20

AST-91

ALT-62

ALP-2.5

TP-6.1

ALB-3.3

A/G-1.22

Hemogram:

CUE:

MP strip method: Negative

TREATMENT:

Day 1:

1)IVF:RL,NS @100ml/hr

2)Inj PAN 40 mg po/od

3)Inj.OPTINEURON 1amp in 100ml NS iv/od

4)Tab.PCM 650 mg po/bd

5)BP,PR Monitoring 4th hourly

6) plenty of oral fluids