A 22 year old male

A 22 year old male student by occupation, resident of Nalgonda came with the chief complains of 

Fever since 4 days which is of low grade, intermittent and relieved on local medication. Not associated with chills and rigors.

Pain abdomen and loose stools since yesterday and relieved on medication.

No h/o vomitings,cold,cough,SOB, melena,bleeding gums, rash.

No other complains

Went to outside hospital and brought to our hospital in view of low platelet count

No h/o   HTN, DM,TB Asthma, Epilepsy,CVD.

Vitals-

Temperature- 99F

PR- 76bpm

BP- 130/90 mm hg

RR- 18 cpm

Spo2- 98%at room air

Systemic Examination-

CVS- S1 S2 heard

RS- NVBS heard

PER ABDOMEN- soft , non tender

CNS- NFND

INVESTIGATIONS-

ECG-

DENGUE NS1 ANTIGEN POSITIVE.

PROVISIONAL DIAGNOSIS- Dengue with thrombocytopenia.

TREATMENT-

1.IV Fluids RL/NS @ 100 ml/hr

2. Plenty of oral fluids

3.Inj.Optineuron 1 amp in 100 ml NS/IV/OD

4.Tab. Dolo 650 mg/BD

5. Tab. Pan 40 mg/OD

6.Vitals monitoring