35Y/F with viral pyrexia and thrombocytopenia

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A 35yr old female patient came to the casualty with c/o fever since 3 days joint pains and burning sensation of epigastric region since 3 days

HOPI - 
Patient was apparently asymptomatic 3 days back then she developed high grade  fever associated with chills and joint pains  
No H/o vomitings, loose stools ,black colored stools, SOB,  cold, cough, 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 - Normal 
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 - 78bpm
BP - 130/80 mmHg
RR -20 cpm
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 - 
Viral pyrexia 
with Thrombocytopenia 

INVESTIGATIONS:


TREATMENT:
IVF NS/RL/DNS @100ML/HR
INJ.PANTOP 40MG IV BD
INJ.ZOFER 4MG IV SOS
INJ.OPTINUERON 1AMP IN 100ML NS IV OD
TAB.PCM 650MG PO TID
INJ.NEOMOL 1GM IV SOS (IF TEMP >101°F)
PLENTY OF ORAL FLUIDS 
TEMPERATURE CHARTING 4th HOURLY 

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