A 25year old woman with fever
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A 25year old woman, a homemaker from Miryalaguda came with complaints of fever since 12days, myalgia since 10days, cough since 8days
History of presenting illness
She was apparently asymptomatic 12days ago, then she developed fever which was intermittent associated with chills, with evening rise of temperature, associated with productive cough with white coloured sputum , for which she went to RMP and was given medication(unknown)
She again had fever spike for which she came to our hospital and diagnosed with Dengue fever
Past history
History of hypothyroidism during third pregnancy and it became normal after the delivery
History of LSCS 3 months back and tubectomy was done
Personal history
She has normal appetite, takes mixed diet, gets adequate sleep, has regular bowel and bladder movements, and has no addictions.
General examination
She is conscious, coherent and cooperative
She is moderately built and moderately nourished.
Pallor is present
No icterus, cyanosis, clubbing, lymphadenopathy, edema
Clinical images
Vitals
Temperature 99F
Pulse rate 75bpm
Blood pressure 100/70mmHg
Respiratory rate 23cpm
SpO2 98%
GRBS 110mg/dl
Systemic Examination
RESPIRATORY SYSTEM EXAMINATION
Inspection:
Bilaterally Symmetrical chest movements present
No scars and sinuses
Trachea central
Palpation:
Inspectory findings are confirmed
Percussion:
Resonant note present in all lung areas
Auscultation:
Normal vesicular breath sounds heard.
PER ABDOMEN
Inspection:
No Abdominal distension
No scars, sinuses, mass visible
Palpation:
Inspectory findings are confirmed
No local rise of temperature
Tenderness
Auscultation
Normal bowel sounds heard
CARDIOVASCULAR SYSTEM EXAMINATION
Inspection : Bilaterally symmetrical chest present
No scars, sinuses
Palpation:
Inspectory findings are confirmed
Apex beat normal
On Auscultation :
S1 S2 heard, no murmurs or additional heart sounds
CENTRAL NERVOUS SYSTEM EXAMINATION
Higher mental functions intact
Cranial nerves intact
No focal neurological defecits
Provisional diagnosis
Viral pyrexia
Investigations
TREATMENT
Single donor platelets transfusion done on 15/8/22
Tab Doxy 100 mg PO BD
Tab DOLO 650 mg PO SOS
I PCM 1 gm IV SOS
I OPTINEURON 1 Ampoule IV OD
Inj Zofer 4mg iv (SOS)
IV Normal saline and Ringer lactate 75ml/hr
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