fever projr dengue 202233683 40/m

 Diagnosis

DENGUE WITH THROMBOCYTOPENIA

Case History and Clinical Findings

pt complaining of fever with chills, generalized body pains and headache since 4 days.HOPI:Pt was apparently asymptomatic 4 days ago then developed fever with chills which was relieved on medication which he took from the local hospital and had undergone investigations for which he was found to be positive for dengueHe also had a low platelet count of 14,000 so was referred to our hospitalH/O Past illnessNot a known case of hypertension, DM,heart disease,tb, epilepsy, thyroid disorder.CVS: S1 , S2+RESP:BAE+P/A: soft , nontenderCNS: NAD

Investigations 


Name

 Value

 Range

 Name

 Value

 Range

 BLOOD UREA 12- 26 mg/dl 42-12 mg/dl 08-2022 08:07:PM

 SERUM 1.0 mg/dl 1.3-0.9 mg/dl CREATININE 12-08-

2022 08:07:PM

 SERUM ELECTROLYTES (Na, K, C l)

12-08-2022 08:07:PM

145-136 mmol/L

5.1-3.5 mmol/L

98-107 mmol/L

SODIUM

POTASSIUM

CHLORIDE

140 mmol/L

3.9 mmol/L

102 mmol/L

 LIVER FUNCTION TEST (LFT)

12-08-2022 08:07:PM

1-0 mg/dl

0.2-0.0 mg/dl

35-0 IU/L

45-0 IU/L

128-53 IU/L

8.3-6.4 gm/dl

5.2-3.5 gm/dl

Total Bilurubin

Direct Bilurubin

SGOT(AST)

SGPT(ALT)

ALKALINE PHOSPHATASE

TOTAL PROTEINS

ALBUMIN

A/G RATIO

2.00 mg/dl

0.92 mg/dl

56 IU/L

83 IU/L

122 IU/L

5.7 gm/dl

3.36 gm/dl

1.44

 POST LUNCH 145 mg/dl 140-0 mg/dl BLOOD SUGAR 13-

08-2022 03:53:PM

 COMPLETE BLOOD PICTURE (CBP)

16-08-2022 06:33:AM

17.0-13.0 gm/dl

10000-4000 cells/cumm 80-40 % 40-20 % 6-1 %

10-2 %

2-0 %

HAEMOGLOBIN

TOTAL COUNT

NEUTROPHILS

LYMPHOCYTES

EOSINOPHILS

MONOCYTES

BASOPHILS

PLATELET COUNT

SMEAR

15.0 gm/dl

6000

50 %

40 %

01 %

09 %

00 %

1.10

cells/cumm

Normocytic normochromic blood picture with thrombocytopenia


Treatment Given(Enter only Generic Name)

IV fluids 2NS 2RLInj. PAN 40 mg/IV/ODInj. ZOFER 4 MG/IV/SOSINJ. NEOMOL 1GM/IV/SOSTAB. DOLO 650 MG PO/ SOSTAB METFORMIN 500 MG PO/ODON 13/08/2022 1 UNIT OF SINGLE DONOR PLATELET TRANSFUSION WAS DONE.


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