20 year female with fever with thrombocytopenia.

Patient came to the casualty with the complaints of fever since 5 days.
Patient was apparently asymptomatic 5 days back then she developed fever which is on and off,not associated with chills and rigors and which was subsided on taking medication. And there is h/o vomiting (1episode),which is non bilious,non projectile,food as a content. And  there is h/o melena, and black coloured stools since 2days.
O/E:
 USG REPORT:
Gall bladder wall edema.

Chest X-ray
Patient c/c/c
Bp:120/80
Pr:70bpm
Grbs:102
Cvs:s1s2+
CNS:NAD+
Rs:BAE+
P/A: soft and non tender
Bowel sounds are heard.

Investigation:
Hemogram:
Hb:12.6
TLC:4000
Platelets:1lakh
Pcv:41.6
Rft: 
Sodium:140
Potassium:5.4
Chloride:99

Lft:
Tb:0.68
Db:0.18
Sgot:39
Sgpt:11

Provisional diagnosis:
Fever with  thrombocytopenia.(ns1 positive)

Treatment: 
Inj.pantop 40 mg/iv/od
Inj.zofer 4 mg /iv/sos
T.pcm 500mg/po/sos

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