This is case of 14 year old female came to opd with chief complaints 1.Fever since 4 days 2.Headache since 4 days

N. Lavanya 

Roll : 93

5 th semester student. 

This is 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

 patients clinical problems with collective current best

 evidence based inputs.

This is case of 14 year old female came to opd

 with

 chief complaints 

1.Fever since 4 days

2.Headache since 4 days

History of presenting illness. 

Patient was apparently asympomatic 4days back

Then she developed 

Fever which is of high grade and onset relived with medications,associated with chills and rigors

Headache since 4days  diffuse in region.

No history of cold,cough 

Vomiting since yesterday morning 3-4 episodes 

Abdominal pain since yesterday morning 

PAST HISTORY -

No k/c/o DM/HTN/Epilepsy/CAD/Asthma

PERSONAL HISTORY-

Diet-Mixed

Appetite-Normal

Sleep-Adequate

 

Bowel and bladder-Normal

Micturtion-Normal

No Addictions

FAMILY HISTORY-

Not significant 

GENERAL EXAMINATION -

The patient is coherent, conscious,cooperative well oriented to time place and person 

He is moderately built and nourished 

PALLOR -absent 

ICTERUS -absent 

CYANOSIS -absent 

CLUBBING -absent 

EDEMA -absent 

LYMPHADENOPATHY -absent 

VITALS 

TEMP-96f

PR-92bpm

BP-120/80

Spo2-98

SYSTEMIC EXAMINATION 

CVS-S1S2 heard 

CNS-Higher mental functions intact 

PA-Soft and non tender 

RS- BAE+

SYSTEMIC EXAMINATION 

CVS-S1S2 heard 

CNS-Higher mental functions intact 

PA-Soft and non tender 

RS- BAE+

Investigations

DIAGNOSIS 

Viral pyrexia with Thrombocytopenia Dengue NS1 +

Treatment

1.IVF NS and RL @75ml/hr

2. INJ PAN 40mg IV/OD

3.INJ ZOFER 4mg/IV/TID

4.INJ NEOMOL 1gm/IV/SOS

5.TAB PCM 650mg PO/QID

6.INJ TRAMASIL 100mg/IV/SOS