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
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