55 YR OLD MALE SUFFERING FROM VIRAL PYREXIA WITH THROMBOCYTOPENIA

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT 

March 12,2022


A 55 YR OLD MALE FARMER BY OCCUPATION, RESIDENT OF NALGONDA CAME TO THE HOSPITAL,4 WITH THE-

CHIEF COMPLAINT OF :

Patient is having Fever since 5 days which is of low grade, intermittent and relieved on local medication. Not associated with chills and rigors.
relieved on medication.
Headache in the frontal region.
No history of vomitings, blurring of vision giddiness,cold,cough,SOB, melena,bleeding gums,hematuria, rash.
No other complains.

He Went to local RMP for evaluation of fever and Ns1(Dengue) was positive.  Then he brought to our hospital in view of ns1 positive


PAST HISTORY:
No h/o   HTN, DM,TB Asthma, Epilepsy,CVD.

PERSONAL HISTORY:

DIET - MIXED,
APPETITE -REDUCED SINCE 5 DAYS
BOWEL MOVEMENT - REGULAR , 
BLADDER MOVEMENTS - REGULAR, ADDICTIONS(ALCOHOL AND SMOKING) - OCASSIONALLY TODDY HISTORY-2 BOTTLES


TREATMENT HISTORY:
Non significant


ON EXAMINATION:

PATIENT IS CONCIOUS , COHERENT COOPERATIVE

NO ICTRUS 

NO PALLOR 

NO CLUBBING , CYANOSIS , LYMPHADENOPATHY, EDEMA.



VITALS-

TEMPERATURE - 99F

PR - 64bpm

BP - 100/70mm hg

RR - 18 cpm

Spo2 - 98%at room air

PER ABDOMEN- soft , non tender
INVESTIGATIONS-

HEMOGRAM (11/03/2022)
HB-14.1
TLC-5500
N/L/M/E-23/65/10/2
PLT-11000
PCV-41.6
RBC-4.69.

URINE EXAMINATION:

Serum Creatinine -1.2

Albumin : +++

Pus cells : 4-5

Epithelial Cells : 2-4


MP (Malarial parasite) -NEGATIVE

MP STRIP - NEGATIVE

SEROLOGY-NEGATIVE.

ECG-
 Chest X RAY

PROVISIONAL DIAGNOSIS - VIRAL PYREXIA  with thrombocytopenia.

TREATMENT-
1.IV Fluids RL/NS @ 100 ml/hr
2. Inj.zofer 4mg IV 
3.Temperature monitoring
4.BP monitoring


NO MURMURS
RESPIRATORY SYSTEM : BILATERAL AIR ENTRY PRESENT ,NORMAL VESICULAR BREATH SOUNDS.



HEMOGRAM (12/3/22)

HB-13.7

TLC-6200

PLT-12000

RBC-4.3

SEROLOGY- HIV,HBSAG NEGATIVE.



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