45Y female with DENGUE FEVER
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HOPI
Patient was apparently asymptomatic 10 days ago when she developed fever which was of high grade, present throughout the day, increased temperature in the night. Fever was relieved for a few hours with medication.
No associated chills and rigor.
C/O lesions on the side of tongue which are leading to burning sensation on consumption of food.
No C/O vomitings, loose stools, burning micturition.
No C/O SOB, pedal edema, decreased urine output.
No C/O hemoptysis, Melina, hemetemesis.
Patient was admitted in local hospital and has come to our hospital i/v/o low platelet counts.
Patient is a k/c/o DM, HTN, Thyroid disorders, BA, Epilepsy.
GENERAL EXAMINATION
Patient was conscious , coperative , coherent
pallor , icterus, cyanosis, clubbing, lymphadenopathy,edema are absent
vitals :-
temp. 99 F
BP 120/90 mm hg
PR 80 bpm.
RR 18 cpm
spo2 99 @RA
SYSTEMIC EXAMINATION :-
CVS :- S1 , S2 heard
RS. : BAE present
P/A : Soft, non tender
CNS :- sensory system intact
motor system. intact
reflexes normal
INVESTIGATIONS
Dengue NS 1 IgM POSITIVE
IgG NEGATIVE
HIV, HBsAg, HCV negative
11/3/22
Hb 11.2 g/dl
TLC 1950/cu.mm
Platelet count 50,000/cu.mm
12/3/22
Hb 11.5 g/dl
TLC 1800/cu.mm
Platelet count 50,000/cu.mm
13/3/22
Hb 11.7 g/dl
TLC 2000/cu.mm
Platelet count 70,000/cu.mm
PROVISONAL DIAGNOSIS : DENGUE FEVER
TREATMENT :-
1. IVF NS, RL AT 100 ml/hr
2. Inj PANTOP 40 mg IV /BD
3. Temp charting 4th hrly
4. W/F bleeding, postural hypotension
5. Inj. OPTINEURON 1amp in 100ml NS IV OD
6. Tab. PCM 650 mg PO/TID
