S.Rakesh kumar roll.no.153

Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies  No Past Surgical History Personal History  Diet -Mixed Appeteite- Decreased  Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Provisional Diagnosis : Viral Pyrexia Vitals Bp 100/60 mmHg Pulse 75BPM RR 14cpm GRBS 437 mg/dl Pt Is C/C/C well oriented with Time,Place and Person  Pallor Absent Icterus Absent Clubbing Absent Koilonychia Absent Lymphadenopathy Absent Edema Absent Systemic Examination CVS S1 S2 Heard  RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis Viral Pyrexia Investigation Chest X Ray : 30-10-22 28-10-22 Rapid Dengue - NS1 Positive 30/10/22  Urine Sugars - Present Albumin Nil 30-10-22 Platelet Count - 27000 Treatment Tab PCM  Inj Neomol  Inj Zofer  4mg IV SOS Inj Piptaz 4mg IV BD Tab Doxy 100mg PO BD SOAP NOTES DAY 1 Viral Pyrexia  Secondary to Dengue Thrombocytopenia Vitals Bp 120/80 PR 75 GRBS 228mg/dl Treatment : Tab PCM  Inj Neomol  Inj Zofer 4mg

CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. She had history of loose stools since 3 days, which is 4-5 episodes per day, watery in consistency.  Past history: K/c/o  Hypertension since 7 years.  7 yrs back she had c/o giddiness for which she went to hospital and was found to have HTN.  Personal history: Diet- mixed Appetite-decreased Bowel and Bladder movements- regular. Addictions- Allergies- none General examination : Patient is conscious, coherent and cooperative. Well oriented to time, place and person. Moderately built and moderately nourished. No p