Fever Thrombocytopenia

Male patient of age 28 comes in opd with complain of fever weakness And loose stool frequency 10/12 per day Chief Complaints Vomiting Abdomen pain Diarrohea Fever since 5 days Taking treatment from sonewhere else but not relief History History Vitals Bp: 100/70 Pulse 100 Temprature 99.6 Physical Examination Weak Pallor Investigations Cbc: esr 40 Platelates 60 thousand Widal negetive Diagnosis Dengue?? Ge?? Management Need to be discuss

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Dx-acute viral fever. Advise-dengue card test less likely Rx-1-adequate hydration. 2-inj paracetamol 1oocc od ×3days. 3-cap microdox 100mg tds. 4-Tab domcet 1×3 5-Cap Rifakem 200mg 1bd. 6-cap Riagut 1od. 7-electrol poweder orally.

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P/D- Viral fever with AGE - Dengue fever Adv - Dengue Ns1,igg.ig,-MP,SGPT.SGOT Admission Rx Inj Monocef 1gm BD inj pan Inj emset Tab O2- BD Cap Vizyalac Rich - BD Tab Omnacort 10 mg- BD IV NS -2 .IV RL- 1,DNS -1 W/f- BP ,HR,Urine ouptut. Stool,urine, haemorrhage

Check Dengue Igm to rule out Dengue Fever. Do Platelet count daily,watch for any bleeding (bleeding gums,Malena,etc) Hydrate with oral fluids ,(l V fluid if not possible).Platelet transfusion if platelet count falls drastically .

Do rt pcr

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Hydration and antipyretic Watch for fall in platelet

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