GM Case History-2


B.Namratha

Roll no.19

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Date of admission:15-08-2021

This is a case of 20 year old male who is a daily labourer by occupation presented with chief complaint of Fever and Headache since 3 days.

HISTORY OF PRESENT ILLNESS:

The patient was suffering from high grade fever since 14th of august and took general medication.There was no change in temperature after taking medication and then he was admitted in our hospital on 15th of august.

Patient was having high grade fever associated with chills and severe headache.The patient also complains about periodic headache claiming that the headache remains from 6:00AM to 12:00PM.

No h/o cough,cold

No h/o nausea,vomiting,diarrhoea 

No h/o constipation 

No h/o pedal edema,facial puffiness

No h/o burning micturition

PAST HISTORY:

No h/o similar complaints in the past

Patient complains about headache

Not a known case of TB,DM,Asthma,Epilepsy

SURGERIES:

No h/o surgeries in the past.

PERSONAL HISTORY:

Diet:Mixed

Appetite:Normal

Bowel and bladder habits:Normal and regular

No smoking habits and takes alcohol occasionally.

FAMILY HISTORY:

Patient’s father suffers from diabetes.

No cancer deaths in the family.

TREATMENT HISTORY:

The patient is not allergic to any known drugs.

GENERAL EXAMINATION:

Patient was conscious,coherent,cooperative.

Patient looks thin built and is malnourished. 

No pallor,icterus,Clubbing,Cyanosis,Lymphadenopathy.

VITALS:

Temperature:103

SpO2:99% at room air

Pulse rate:68bpm

Respiratory rate:18cycles/min

BP:90/60mm Hg

SYSTEMIC EXAMINATION:

CVS:

S1 and S2 heard

No murmurs.

RESPIRATORY SYSTEM:

Trachea is in central position.

Normal Vesicular breath sounds heard.

ABDOMEN:

Soft

No tenderness

No palpable mass

CNS:

Conscious and normal speech.

Normal gait

Cranial nerves normal

Sensory and motor system normal.

INVESTIGATIONS:

SARS COVID-NEGATIVE.

ECG:



FEVER CHART:



HEMOGRAM:



DENGUE ANTIGEN TEST:




ESR:



MALARIA PARASITE:



CUE:



SERUM PROTEIN:

 

SGPT:



SGOT:



SERUM BILIRUBIN:



SERUM CREATININE:



DIAGNOSIS:

DENGUE

TREATMENT:


1)Iv fluids
2) Tab pcm 650 mg po/ tid
3) Inj neomol 1g/ iv/ sos
4) Inj pan 40 mg / po/ od
5)Inj zofer 4 mg iv/ sos




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