A 22 YEAR OLD MALE WITH DENGUE FEVER

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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box.
CHEIF COMPLIANT:
A 22 year old male who is car driver by occupation came with the chief complaint of fever,chills,cough With expectoration,headache backache,generlized body pains since 1week
HISTORY OF PRESENT ILLNESS:
patient was apparently asymptomatic 1 week back,then he developed fever with chills(high grade) intermittent rise in temperature with headache and cough which is productive (white colour),and generalized body pains.
HISTORY OF PAST ILLNESS
Patient is , last binge 10 days back.
N/k/c/o DM , BA, EPILEPSY.

PERSONAL HISTORY:
HABITS: alcoholic,he used to smoke few months back .
He follows a mixed diet. 
Appetite -Normal,
Bladder movements- normal 
Bowel movements- Normal . 
Sleep- Adequate.

FAMILY HISTORY: No significant family history.

GENERAL EXAMINATION : 
patient is conscious ,coherrent, co operative and well oriented to surroundings. He is moderately built and nourished.
No Pallor ,no cyanosis, icterus++, no lymphadenopathy.
PHYSICAL EXAMINATION-:vitals 

.temperature-:afibrile 

.pulse rate -:82/min

.resp rate -:18/min 

.Bp -:90/70

 SYSTEMIC EXAMINATION 

CVS-; 

        S1,S2 HEARD 

        NO MURMERS 



RESPIRATORY SYSTEM-:

         No dyspnea 

          No wheeze 

          Position of trachea -;central 

ABDOMEN-:

          Shape scaphoid 

  Flanks:full, umblicus: center position, inverted shape 

Skin:no scars present no dilated veins seen

Movements of abdomen wall are equal with inspiration

PALPATION 

          Tenderness in right lumber region 

          No palpable mass 

           No palpable spleen and liver 



CNS-:

         Consious, coherent ,cooperative 

         Speech norml

         No neck stiffness 

SENSORY SYSTEM :-

        Able to percieve-:pain , temp
INVESTIGATION
Complete blood picture
Renal and liver function tests 

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