66 year old female came to the casuality with C/O Fever, Decreased appetite, Nausea and Giddiness since 1 week

66 year old female came to the casuality with C/O:

- Fever since 1 week

- Decreased appetite since 1 week

- Nausea since 1 week

- Giddiness since 1 week

HOPI:

Patient was apparently asymptomatic 1 week back and then she developed fever which was continuous type, relieved on taking medication, not associated with chills and rigors.

H/O decreased appetite, nausea and giddiness since 1 week

No H/O Burning micturition, headache, cold

No H/O Bleeding manifestations

PAST HISTORY:

K/C/O HTN since 1 year

Not a K/C/O DM/Asthma/TB/Epilepsy/CAD/CVD

FAMILY HISTORY:

Not significant

GENERAL EXAMINATION:

Patient was C/C/C

No pallor, icterus, cyanosis, clubbing, koilonychia, lymphadenopathy, edema

VITALS:

Temp. - 98 F

PR - 82 bpm

RR - 16 cpm

BP - 110/70 mmHg

SpO2 - 99% @ RA

SYSTEMIC EXAMINATION:

CVS - S1S2 heard, No murmurs

RS - BAE +, Right side IAA Crepts+

CNS - NAD

P/A - Soft, Non tender

INVESTIGATIONS:

Chest X-Ray:

ECG:

2D ECHO:

USG Abdomen:

PROVISIONAL DIAGNOSIS:

Viral Pyrexia with Thrombocytopenia secondary to Dengue NS1 Positive with K/C/O Hypertension