General Medicine Case Discussion



  15th December 2022

CASE DISCUSSION 

A 17 year old male came to opd who is driver came with

CHEIF COMPLAINTS:

Blood from nasal sinuses

Fever since 4 days

Vomitings 3-4 days/day.


HISTORY OF PRESENTING ILLNESS:

Apparently a symptomatic four days back, then developed fever (continuous type) with chills and rigors 

Bleeding from nose since 4 days( 2-3 times a day)

PAST HISTORY:

No cold

No vomiting 

No BP

No diabetes

No asthma

No TB

PERSONAL HISTORY:

Unmarried

Mixed diet

Regular bowel movements

No allergies 

Normal micturation

No addictions

FAMILY HISTORY:

No significant family

GENERAL EXAMINATION:

No pallor

No icterus

No cyanosis

No lymphadenopathy 

No malnutrition 

No clubbing of fingers

No oedema








FEVER CHART:




HEMOGRAM:




ECG:



TREATMENT:

1. IVF: 10NS, 10RL @75 ml/hr

2. Inj. Neomol 1 gm IV/SOS If temp goes beyond 101 f

3. Tab. Dolo 650mg po/ird 

4. Inj. Tranexa 500mg IV/SOS

5. Monitor temperature  




PROVISIONAL DIAGNOSIS: DENGUE FEVER  



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