A 22 YEAR OLD MALE WITH DENGUE FEVER

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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