case of dengue 25/08/22

23 yr old woman with decreased platelet count

August 21,2022

 A 23 yr old woman  resident of Miryalguda home maker by occupation came with chief complaints of fever since 11 days.

HOPI 

Patient was apparently asymptomatic 7 days back.

Then she developed fever since 7 days which was high grade intermittent and associated with chills and rigor

She went to a local hospital and took medication and the fever subsided.

Then after 3 days she again had fever for which she came our hospital and widal test was done and it was negative .

She also done the test at local hospital and it was positive for dengue and they visited a hospital in Nalgonda and was told her platelet count was low and then they went to Osmania hospital because of some personal problem they came our hospital on 14/08/2022

PAST HISTORY

No similar complaints in the past

Not a known case of Diabetes Hypertension Asthma TB Epilepsy

History of hypothyroidism during third pregnancy and it became normal after delivery

History of Tubectomy and LSCS 3 months back 

FAMILY HISTORY No significant family history

PERSONAL HISTORY

Diet mixed

Appetite Normal

Sleep adequate 

Bowel and bladder regular 

Addictions No addictions

DRUG HISTORY No history of allergy to any kind of drugs

GENERAL EXAMINATION

Patient was conscious coherent and cooperative

Moderately built and nourished 

pallor present

No, Icterus, Cyanosis, Clubbing, generalized lymphadenopathy and edema 








Vitals

Temperature Afebrile 

RR 20 cpm

PR 90

BP 110/90

GRBS  106gm/dl

Systemic Examination


RESPIRATORY SYSTEM EXAMINATION 

Inspection:

Symmetrical chest seen

No scars and sinuses 

Trachea central

Palpation:

Inspectory findings are confirmed

Percussion: 

Resonant note present in all lung areas

Ascultation:

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 absent

Mild hepatomegaly and mild spleenomegaly

Auscultation

Normal bowel sounds heard

No bruit 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

INVESTIGATIONS 

















PROVISIONAL DIAGNOSIS 

Viral pyrexia

TREATMENT 

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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