A 55 year old female came to the OPD with the C/O Fever since 3 days

A 55 year old female came to the OPD with the C/O Fever since 3 days

HOPI:

Patient was apparently asymptomatic 3 days ago and then she developed fever which was continuous, high grade, associated with chills and burning of eyes

No H/O headache, cough, cold, pain abdomen, vomitings, joint pains

No H/O SOB, retro orbital pain

Patient has a H/O burning of eyes 1 year back

Not a K/C/O HTN/DM/TB/Epilepsy/Asthma/CAD/CVA

Patient was hysterectomised 15 years ago

Family history - Not Significant

Personal History:

Diet- mixed

Appetite- normal

Sleep- adequate

Bowel and bladder movements- regular

No addictions

General Examination:

Patient is C/C/C

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

Vitals at admission:

Temp.-100 F

PR- 91 bpm

BP- 130/80 mmHg

RR- 17 cpm

SpO2- 99% at RA

Systemic Examination:

CVS- S1S2 heard, no murmurs

RS- BAE+ , NVBS+

CNS- NAD

P/A- Soft, Non-tender

Investigations:

ECG:

Provisional diagnosis:

Viral Pyrexia with Thrombocytopenia secondary to NS1 Positive Dengue

Treatment given:

1. Inj. Optineuron 1 amp in 100 ml NS

2. IV fluids @ UO+30 ml/h

3. Inj. Pantop 40 mg IV/OD

4. Inj. Zofer 4 mg IV/OD

5. Inj. Neomol 100 ml IV/SOS (if temp.>101 F)

6. Tab. PCM 500 mg PO/TID

7. Watch for bleeding manifestations and postural drop