A 38 YEAR OLD MALE WITH COMPLAINTS OF HIGH GRADE FEVER
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38 YEAR OLD MALE COMPLAINTS OF HIGH GRADE FEVER SINCE 5 DAYS
A 38 year old male, private employee, complaints of
- high grade fever since 5 days
- productive cough since 3 days
- shortness of breath since 3 days
- vomitings since 3 days
- loose stools since 1 day
Patient was apparently asymptomatic 5 days ago after which he developed high grade fever with chills- intermittent, subsided at the time of admission.
Complaints of productive cough associated with shortness of breath on and off since 3 days. No complaints of orthopnea, pedal edema.
Vomitings since 3 days- 2-3 episodes per days with food particles as content.
Loose stools since 1 day- 10-15 episodes, watery consistency, two episodes of black coloured stools.
Complaints of burning micturition 2 days ago, lasted for one day and then subsided. Generalised body pains+
No complaints of bleeding gums, rashes, hematemesis
No complaints of pain abdomen or abdominal distension
PAST HISTORY
History of SARS COVID in May 2021- admitted and relieved.
Patient isn't a diabetic, hypertensive, no cardiac problems, never been diagnosed with TB.
VITALS
Temp- 98.6 F
PR- 98 bpm
BP- 120/90 mmHg
RR- 22 cpm
Spo2- 98% at RA
SYSTEMIC EXAMINATION
CVS: S1 S2 heard, no murmurs/thrills
RS: BAE+, NVBS heard
PA: Soft, non tender. Liver and Spleen not palpable. Bowel sounds heard.
CNS: NFND
PROVISIONAL DIAGNOSIS
Dengue NS1+
INVESTIGATIONS
Outside Reports:
NS1+
Platelets- 62,000 lakhs/cu.mm
8/12/21
ECG
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