21 year old female









 A 21 year old female  home maker by occupation came to the casualty with chief complaints of  fever since 4 days and vomitings since yesterday.

History of present illness : patient was apparently asymptotic 4 days back then she developed 

fever - high grade , a/w chills 

Vomitings since yesterday, 2 episodes non bilious and subsided 

Abdominal distension since 4 days 

No h/o hematuria, Malena 

No h/o chest pain , sob ,palpitations 


Past history :

No h/o HTN, DM, TB , Asthama 


Personal history :

Married 

Appetite:normal 

Diet :veg 

B/B: regular /normal 

No addictions 


Family history : NAD 


General examination:

PICCLE :- ve 

Temp :98.4•F

PR:56bpm 

RR:22/min 

BP: 100/70mmhg 

Spo2:98%

GRBS:140mg%


Systemic examination:

CVS:s1,s2 +, murmurs - 

Respiratory system: BAE+,NVBS -

Abdomen : soft , non tender , bowel sounds +

CNS:NAD 


Provisional diagnosis :

viral  Pyrexia with thrombocytopenia 

 ? Secondary to dengue with polyserositis 

With 1st degree heart block ( ? 2• viral myocarditis)


Serology 




Rapid dengue test :


Hemogram :

8/9/21


10/9/21


11/9/21


LFT /RFT 




Chest x ray 


Fever chart : 


Treatment: 

 Day 1 :  8/9/21

Inj pan -40mg OD 

Ivf -NS /RL/DNS @100ml/hr 

Inj optineuron 1 amp in 100 ml Ns / IV /OD 

Inj zofer 4mg /sos 

Oral fluids -4 L 

Strict temp charting 

Vitals monitoring 

 

Day:2 

9/9/21 

Inj pan -40mg OD 

Ivf -NS /RL/DNS @100ml/hr 

Inj optineuron 1 amp in 100 ml Ns / IV /OD 

Inj zofer 4mg /sos 

Oral fluids -4 L 

Strict temp charting 

Vitals monitoring 

 

Day 3 

10/09/21

Inj pan -40mg OD 

Ivf -NS /RL/DNS @100ml/hr 

Inj optineuron 1 amp in 100 ml Ns / IV /OD 

Inj zofer 4mg /sos 

Oral fluids -4 L 

Strict temp charting 

Vitals monitoring 

 

Day :4 (11/9/21)


Inj pan -40mg OD 

Ivf -NS /RL/DNS @100ml/hr 

Inj optineuron 1 amp in 100 ml Ns / IV /OD 

Inj zofer 4mg /sos 

Oral fluids -4 L 

Strict temp charting 

Vitals monitoring 

 






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