A 25 year old male came with 

 C/o  Fever since 4 days and Vomitings since 3 days

Patient was apparently asymptomatic 4 days ago then he developed high grade fever with chills and rigors associated with generalised body pains not associated with cough, cold, sore throat, SOB, Palpitations.

C/o Vomitings 3 days back, 3 episodes of Vomitings non bilious, non projectile, non foul smelling, contain food particles as content.

Past History-

N/k/c/o DM, HTN, Epilepsy, CVA, CAD, Asthma

On examination 

Patient is C/c/c well oriented to time place and person

No signs of Pallor, Icterus, cyanosis, clubbing, lymphadenopathy, pedal edema 

On Sustemic Examination:

CVS: S1S2 + No murmurs heard

RS: BLAE + NVBS heard

CNS: NFND

P/A: soft,nt 

At Presentation

Temperature: 98.4 F 

Pulse rate: 65/min 

Blood pressure: 130/80 mmhg 

Respiratory Rate: 16/min 

Spo2: 98% at RA

Clinical Images:











Investigations—






Provisional Diagnosis 

Viral Pyrexia with Thrombocytopenia 

Dengue Fever( NS1 Positive)


Treatment:

1. IV Fluids 

2. INJ.Neomol 1gm IV/SOS 

3. Tab. PCM 650 mg PO/SOS

4. TAB. ZOFER 4 mg PO/SOS

5. Adequate Oral Fluids Intake



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