Dengue NS1 +ve 18/M

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A 18yr old male patient came to the casualty with 

c/o fever since 6days .

HOPI - 

Patient was apparently asymptomatic 6days back then he developed fever which is high grade , associated with chills and rigors, intermittent , relieves on taking medication associated with headache since 2days, body pains .

Vomiting q episode yesterday, containing food particles, non bilious, non blood stained

Pain abdomen in epigastric region 

No H/o, loose stools , giddiness, hematuria

No rash & bleeding manifestations .

No H/o retro orbital pain , joint pains .

Past History - 

Not a k/c/o HTN , DM,TB, Asthma , CAD, CVD 

Personal history -

Diet - mixed

Appetite - reduced since 2 days

Bowel & bladder movements - regular 

No addictions

Family history - not significant

On Examination 

patient is c/c/c

No pallor , icterus , cyanosis , clubbing lymphadenopathy , edema

Vitals -

Temp - Afebrile 

PR - 102bpm

BP - 100/80 mmHg

RR -14cpm

SpO2- 98%@RA

Systemic examination -

CVS - S1 S2 +VE 

RS -BAE +VE , NVBS +VE 

P/A - soft , non tender , BS +ve 

CNS - NAD 

Provisional diagnosis - 

Dengue - NS1 +ve  

Investigations

Provisional Diagnosis- NS1 POSTIVE DENGUE

Treatment-

IV fluids NS, RL,DNS - 75ml/hr 

T.PCM 650MG /PO/TID 

T.PAN 40MG /PO/OD

T.MVT /PO/OD