28/m fever since 5 days

28 year old male with c/o fever since 5 days with chills

Pt was apparently asymptomatic 6days back when he developed fever with chills and rigors..high grade

Sudden onset resolved now

2 episodes of vomitings 2 days back, bilious, non projectile, non blood stained

No Malena, hemoptysis, hematemesis

No h/o rash

No h/o loose stools

N/k/c/o DM, htn, tb, ba, Epilepsy

O/e

Pt is c/c/c

TEMP- 99.5°f

Bp- 110/80mmhg

Pr- 81 BPM

RR- 18cpm

CVS- S1 S2 heard

Rs- BAE (+)

P/A- soft non tender

CNS- NFND

Investigations-

DX: Viral Pyrexia with Thrombocytopenia

IVF - ns, RL at 100ml/hr

Inj Pantop 40mg iv od

Inj ZOFER 4mg iv SOS

T. Dolo 650 mg po/sos

Daily postural bp monitoring

Temp charting 4th hrly