Dengue NS1 +ve 18/M

This is 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

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



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