VIRAL PYREXIA WITH THROMBOCYTOPENIA SECONDARY TO DENGUE NS1 AND IGM POSITIVE

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 16 year old male came to the opd with complaints of :
•fever since 4 days, intermittent,low grade not associated with chills and relieved on medication.
•Pain abdomen generalized since 4 days which is intermittent and of squeezing type
•vomitings 2 episodes non bilious,non projectile associated with nausea
No H/o rashes, burning micturition, hematuria,hematemesis,melena
Past history:
No h/o DM,HTN,TB,CVA,CAD,Asthma
Personal history:
Appetite-normal
Diet-mixed
Bowel and bladder movements-regular
Addictions-none
Family history:
No family h/o DM,HTN,TB,CVA,CAD,Asthma

On Examination patient is conscious, coherent and cooperative
No pallor, icterus,cyanosis, clubbing, lymphadenopathy,edema
Vitals:
Temp-98.2 degrees F
PR-67 Bpm
RR-20 cpm
BP-110/70 mm Hg
Spo2-100
CVS:S1S2+
RS:BAE+;NVBS+
P/A:Soft,non tender
CNS:NFD
INVESTIGATIONS:
HEMOGRAM:
CUE:
Dengue ns1:
MP Strip method:
USG:
CXR:
ECG:
TREATMENT:
DAY1:
1)IVF:NS,RL @75 ML/HR
2)INJ.PAN 40 MG IV/OD
3)INJ.OPTINEURON 1 AMP IN 100 ML NS IV/OD
4)INJ.ZOFER 4 MG IV/BD
5)BP,PR,SPO2 Monitoring 4th hourly
6)strict I/O charting

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