DENGUE

47/M 

Amc case, new admission

Patient was brought to casuality with c/o, fever since 3 days, and sob since today evening.

HOPI - 

patient was apparently asymptomatic 3 days back then he developed fever, high grade a/w chills and rigors, intermittent, more at night 

Later on the patient developed SOB, recently since the evening of 28/12/21 at around 8 - 9

No H/O Haemoptysis,chestpain,cold,

No H/o. Hematuria,rashes over the body, melena etc 

No h/o weightloss,nightsweats.

Past history-

Patient is not a k/c/o DM, HTN, CVA, CAD, EPILEPSY, BA

GENERAL EXAMINATION :-

Pt is c/c/c; 

PICKLE -

Vitals on admission

PR - 118 bpm

BP - 100/70 mm Hg

RR - 22 cpm

Temp  - 103 F 

Spo2 - 95 % RA

SYSTEMIC EXAMINATION :-

CVS - S1, S2 +

RS - BAE +, crepitations +, left IAA, 

P/A - soft non tender 

CNS - no FND, GCS (15/15)

DIAGNOSIS: VIRAL PYREXIA WITH THROMBOCYTOPENIA WITH VIRAL PNEUMONIA. (RESOLVED)

Advice at discharge:

(1) TAB.AUGMENTIN 625 MG/PO/BD 

        1------X------1.    FOR 3 DAYS

(2) TAB.AZITHROMYCIN 500 MG /PO/OD

        X-----1------X.     FOR 3 DAYS