fever projr viral pyrexia 39/F 202226311

 viral pyrexia - 20220642460 

Diagnosis

VIRAL FEVER WITH HERPES LABIALIS

Case History and Clinical Findings

CHIEF COMPLAINTS: FEVER ASSOCIATED WITH CHILLS SINCE TWO MONTHS

DIFFICULTY DURING SWALLOWING SINCE 2 DAYS BACK

HOPI: PATIENT WAS APPARENTLY ALRIGHT 2 MONTHS BACK THEN SHE DEVELOPED FEVER WHICH WAS LOW GRADE,INTERMITTENT AND WAS RELIEVED ON MEDICATION. FEVER WAS ASSOCIATED WITH CHILLS AND EVENING RISE IN TEMPERATURE WAS SEEN. RISE OF TEMPERATURE WAS SEEN ONCE FOR EVERY 3 DAYS.

PAST HISTORY: N/K/C/O HTN,DM,EPILEPSY,TB,CAD,ASTHMA

Investigation

ECG: NORMAL

USG ABDOMEN: NO SONOLOGICAL ABNORMALITY DETECTED EXCEPT GRADE 1 FATTY LIVER

USG NECK: FEW ENLARGED LYMPHNODES NOTED IN B/L LEVEL 2,3,4 AND LEFT LEVEL 1B WHICH IS LARGEST MEASURING 7MM.(ENLARGED CERVICAL LYMPHNODES)

Treatment Given(Enter only Generic Name)

1 IV FLUIDS 1 NS WITH 1 AMP OPTINEURON @50ML/HR

2 INJ MONOCEF 1 GM IV BD

3 TAB DOXY 100MG PO BD

4 TAB DOLO 650MG PO TID

5 FUDIC CREAM FOR L/A

5 TEMPERATURE AND VITALS MONIOTORING

Advice at Discharge

1 TAB DOLO 650MG PO TID FOR 3 DAYS

2 TAB LIMCEE 500 PO OD FOR 10 DAYS

3 TAB MVT PO OD FOR 10 DAYS


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