17 year old female with cc of fever since 3 days

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 box.

17 yr old female patient came to the casuality with the chief complaints of 
1.Fever since 3 days
2.Generalised weakness since 3 days.
HOPI:-
Patient was Apparently asymptomatic 3 days back .Then she developed fever which is high grade not associated with chills&rigors and fever is continuous ,relieved on taking medication.she  developed generalised weakness .
No H/o SOB, Palpitations,Chestpain.
No h/o Pain Abdomen, Vomitings, Loose stools.
No h/o cough,cold.
No burning Micturition/ Hematuria.
No h/o Giddiness 
No h/o Blood in stools & Dark colured stools.

PAST HISTORY:-
Not a known case of HTN,DM,Thyroid,epilepsy,CA

Family history - not significant

Personal history - 
diet- mixed
Appetite -normal 
Bowel and bladder movements-regular
Sleep- adequate
Addictions -no addictions

EXAMINATION:-
Patient was conscious coherent cooperative
No pallor ,cyanosis, lymphadenopathy, pedal edema, clubbing.
Temp- 98.6 f
PR- 70 bpm
RR- 14 cpm
BP- 120/70mm hg
CVS-s1 S2 +
CNS - NAD
P/A- soft ,nontender.
R/S- BAE+


DIAGNOSIS:-
VIRAL PYREXIA WITH THROMBOCYTOPENIA
INVESTIGATIONS:-
Fever chart:

Hemogram:

Electrolytes:
Liver function test:


Comments

Popular posts from this blog

63y/M CAME TO CASUALTY WOTH LOSS OF CONSCIOUSNESS

60Y MALE WITH MULTIPLE SWELLINGS SINCE 1 YEAR

60 Y/F with sudden loss of consciousness