Viral pyrexia with thrombocytopenia

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box

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

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