6 Dengue fever

 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment"



Date of Admission-8/12/21


A 38 year old male patient presented to OPD with chief complaints of  fever and generalized body pains with cough since 4 days.

HISTORY OF PRESENT ILLNESS:

The patient was apparently normal 4 days ago,

Then he developed high grade intermittent fever with chills along with 2-3 episodes of vomitings per day with productive cough.

The patient also complains of orthopnea with SOB.

Loose stools multiple times and complaints of black stools with burning micturation for 2DAYS

STORY OF PAST ILLNESS:

No history of surgery, asthma, TB, CAD, epilepsy.

PERSONAL HISTORY:

 Normal appetite. 

DIET:Mixed diet

No  addiction.

SLEEP: disturbed sleep (the patient is having orthopnea.)


FAMILY HISTORY:

NO history of DM, CAD, Asthma and thyroid disorders in the family

GENRAL EXAMINATION :

Patient is conscious, coherent, co-operative.

There are no signs of icterus, clubbing, pallor, cynosis, lymphadenopathy.


VITALS:

Temperature- 99°F

Pulse rate- 98 bpm

Respiratory rate - 22cycles/min

BP- 120/80

Spo2- 98.

GENERAL EXAMINATION:


  BLEEDING MANIFESTATIONS:

11/12/21


13/12/21


Investigation:

BLOOD GROUP:B+ve

Haemogram-8/12/21.


Haemogram-11/12/21.


ECG:




PROVISIONAL DIAGNOSIS: 

DENGUE FEVER.


TREATMENT :

The patient was given 2 units of SDP on 9th and 10th.

Plenty of oral fluids.

Dolo 650mg

PANTOP 40 mg OD ×5days

Tab. NEUROBION FORTE  OD×15days.



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