25 year old male with fever with thrombocytopenia

Patient came to the OPD with complaints of fever since 10 days.
Patient was apparently asymptomatic 10 days back then he developed fever,which is on and off,high grade fever, associated with chills and rigors.which was subsided on taking medication.After 2 days again he developed fever,for that he went to local hospital there he diagnosed with typhoid for that he used medication. After 3 days ,he had fever,which is low grade fever not associated with chills and rigors.for the he went to local hospital there he had a dengue positive.

O/E
Patient c/c/c
Afebrile
Bp:100/60
PR:75 bpm
Cvs:s1s2+
CNS:NAD+
Rs: BAE+
P/A:soft and non tender
Investigation:
ECG:
Hemogram:
Hb:15.6
TLC:7,500
Pcv:44.5
Platelets:1.17lakhs

Lft:
Tb:1.25
Db:0.48
Sgot:123
Sgpt:86

Rft:
Sodium:138
Potassium:4.5
Chloride:99
Blood urea:18
Sr.creatinine:0.7

Provisional diagnosis:

Fever with thrombocytopenia.(ns1 positive)
Treatment:
inj.pan 40 mg/iv/od
Inj.zofer 4mg/iv/sos
T.pcm 500mg/po/tid
Plenty of oral fluids

Comments

Post a Comment

Popular posts from this blog

50 year old male with chronic pancreatitis with mild ascites.

Image
Chief complaints:- A 50 year old male came, working as a daily wage labourer from Nagonda presented  to the casualty yesterday with the complaints of  Pain abdomen since 1 week. Hopi:-  Patient consumes around 90ml of whiskey everyday since the past 10 years and he also smokes 1 pack of cigarettes per day.  He was apparently alright 7 years back then he developed pain abdomen around umbilical region which was non radiating and dull aching in nature, present throughout the day and wasn't relieved on sitting or bending forward. He went to a local hospital when in he was admitted for 4 days and continued to consume the prescribed medications for 1 week post admission. He thereafter stopped consuming alcohol for 7 months post admission. He later continued consuming alcohol. 1 month later he developed a similar episode of pain abdomen for which he used the medications prescribed as per his previous hospital admission. 4 years back - He experienced pain abdomen for which he consulted a d
Read more

A55year old male with ? Nephrotic syndrome Known case of Hypertension since 10 daysAnemia under evaluation.

Image
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.  CASE DISCUSSION:  •55 year old man, owns a restaurant at choutuppal presented with the complaints of Bilateral lower limb swelling since 1 month Reduced urine out since 20 days Abdominal distension since 7 days Scrotal swelling since 4 days Patient used to previously work as a farmer  and later in 2004 he and his wife started running their own restaurant at Choutuppal. He is a father of 2 children.   22 years back:  He got diagnosed with pulmonary kochas for which he used ATT for 6 months   1 month back :  He first developed left lower limb swelling extending upto his ankle and he later gradually developed swelling of h
Read more

Medicine e log

45 year old female presented with multiple health events  have been given this case to solve in an attempt to understand the topic of "patient clinical data analysis"to develop my competency in reading and comprehending clinical data icluding history,clinical findings,investigations and come up with a diagnosis and treatment plan. You can find the entire real patient clinical problem in this link below https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Following is my analysis of the patient problems in order of priority : 1.Swelling 2.Migraine with aura 3.Left-sided weakness 4.Sleep deprivation  5.Oliguria 6.Fatigue The reasons for above problems are 1)SWELLING   It started at the age of 1 and patient still swells up in conditions of:Emotional stress,exercise,smoking or eating the wrong thing.Swelling is mainly in face,neck region and abdomen.   It might be a part of hemolytic crises occuring in patient due to G6PD deficiency.   G6PD
Read more