Deteriorated condition after Chemotherapy

law grad fever with bodyache with weakness continue since 8/08/16 please say provisional diagnosis

28 yrs young pt. High grade fever Severe bodyache Mild tachycardia Bp normal RR ok Wbc 4200 Platelets 132000

*Chief Complaint* A 61 y/o female with a PMH of chronic hepatitis C infection & htn came with generalized weakness, fevers, tirdness and patient is not eating anything. *History* On examination patient was confused but conscious. He has left lateral gaze palsy, *Investigations* Serum sodium level 126 mmol/L (normal 135-150 mmol/L) and a platelet count: 88,000/µL (normal 150,000-400,000/ µL). Creatinine level raied to 1.13 mg/dL. *Diagnosis* Chest x-ray is posted below. Please advise diagnosis and treatment

Pt has h/o fever Cough and cold for 3-4 days An episode of loose motion yesterday And rashes today over face neck n torso.. No any h/o drug allergy/bt/other medical illness Her sister too had such rashes 15 days back over face and neck.

Let's fight dengue Rain has come and its time to relax after hot climate. Rain brings joy to everyone but it also brings some troubles in the form of dengue, malaria, chickungunya, viral respiratory illness, diarrhoea etc. Today, we will talk about dengue, how to prevent, identify it and the various treatment options available. With multiple cities including Delhi recording a high number of dengue related cases, it is important that you know about the disease and how to prevent it. Dengue fever is transmitted by the bite of an Aedes mosquito infected with a dengue virus. Mosquito can bite any time in day but it is more in early morning hourr & in evening. Symptoms of Dengue Fever Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include Sudden, high fever Severe headaches Pain behind the eyes Severe Bone, joint and muscle pain Fatigue Nausea Vomiting Breathlessness Skin rash, which appears two to five days after the onset of fever Mild bleeding (such a nose bleed, bleeding gums, or easy bruising) Sometimes, symptoms are mild and can be mistaken for those of the flu or another viral infection. However, serious problems can develop. These include dengue hemorrhagic fever, a rare complication characterized by high fever, damage to lymph and blood vessels, bleeding from the nose and gums, enlargement of the liver, and failure of the circulatory system. The symptoms may progress to massive bleeding, shock, and death. This is called dengue shock syndrome (DSS) People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.