A 18 year old male patient came to the causality c/o 
Fever since 4 days

Fever- low grade,  intermittent, associated with chills and nausea
H/o  2-3 episodes of vomiting on 2nd day of fever 
No h/o loose stools or bleeding gums
H/o malena 1 episode
No h/o of hemoptysis, hematemesis

No h/o cold,cough,sob
No other complaints
PAST HISTORY:
No h/o DM, HTN, asthma, epilepsy, TB


PERSONAL HISTORY
Appetite-decreased
Regular bowel and bladder movements
No addictions


GENERAL EXAMINATION : 
Patient is conscious, coherent and cooperative  
No pallor, Icterus, cyanosis, clubbing, lymphadenopathy

VITALS : 
Temp: 100.6F
PR: 76bpm 
BP: 100/70 mm hg 
RR: 20 cpm  
Spo2 - 99%

CVS : 
S1, S2 heard , No murmurs 

RS : 
Position of trachea: central 
BAE present


PER ABDOMEN: Soft
And non tender 
Bowel sounds +

CNS: 
Patient is Conscious ,oriented to time,place and person 
HMF -intact 
Motor & sensory system: normal 
Reflexes: present 
Cranial nerves: intact 
No meningeal signs 

PROVISIONAL DIAGNOSIS-
Fever with thrombocytopenia(Ns1 positive)

USG abdomen 
1)gall bladder oedema
2)moderate ascitis
Investigations 

Popular posts from this blog

Image
A 27 yr old male presented to casuality with left sided chest pain since 10 days worsening since yesterday night   HOPI :   Pt was apparently asymptomatic 15 days then he developed fever after spraying pesticides in field ,associated with cough with expectoration  Pt was taken to a local doctor and treated symptomatically , but symptoms not relieved  Pt developed left sided chest pain 10 days back ,non radiating ,diffuse pain ,pain increased on inspiration   Not a/w sweating, palpitations pt was refered to our hospital in view of persistent fever ,cough with chest pain  PAST HISTORY :   No h/o HTN,epilepsy,TB,asthma  PERSONAL HISTORY :  Appetite -normal  Diet mixed  Bowel and bladder- regular  Sleep adequate  Addictions - occasionally takes alcohol 250 ml a week from 5 years Has a habit of tobacco chewing from 5 years FAMILY HISTORY  Not significant  GENERAL EXAMINATION  O/E pt is c,c,c...
Read more
Image
UNIT 3 ADMISSION  A 20 year old female presented to opd with h/o Fever 1 year back which she got diagnosed with high blood pressure with BP 170/90mmHg.   She thought it was due to Fever.she didn't get herself reviewed     Two months back She got covid vaccination and was associated with Fever,chills and subsided next day      5 days back on routine checkup her BP was still high showing 180/110mmHg and was brought here to Kamineni by her sister and mother No history of decreased urine output No history of Polyuria,polydypsia,polyplegia Past history:not a k/c/o Dm,HTN, asthma, tuberculosis, epilepsy, Ckd Personal history: Appetite-normal Bowels- regular  Micturition-normal No addictions Family history: Father and grandfather is a k/c/o HTN General examination: No pallor  No cyanosis  No icterus  No lymphadenopathy  No edema Vitals Temperature...
Read more
Image
 45 yr old male patient, church pastor by occupation, came to the hospital with chief complaints of  Shortness of breath for 4 days 1 1/2 yr back Pedal edema for 4 days 1 1/2 yr back Decreased urine output for 4 days 1/1/2 yr back The patient was apparently asymptomatic 15 months back when he developed vomitings, loss of appetite and decreased urine output for which he was taken to the hospital where he was diagnosed with CKD. Since then the patient has been undergoing about 4-5 sessions of dialysis every month. Had h/of hearing loss since 8 months secondary to diuretics and initially used hearing aids but stopped using it due to one sided headache Underwent catarct surgery left eye in July 2021 and right eye in Nov 2021 Patient presently on fern cath placed in month of May  K/c/o  CKD on MHD since 11/2 year HTN since 10 years on tab nicardia 10 mg  DM since 10 years. Was on tab metformin but stopped using medication since starting dialysis sugars were under con...
Read more