VIRAL PYREXIA WITH THROMBOCYTOPENIA SECONDARY TO DENGUE NS1 AND IGM POSITIVE

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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