A 50 year old female patient with fever

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 

CHEIF COMPLAINT :-
A 50 year old female bought to casualty with a complaint  of fever.

HISTORY OF PRESENT ILLNESS:-   A 50 yr old female patient who is agricultural  labour by occupation 
 was apparently asymptomatic  10days ago  and then she developed  high  grade fever continous fever with no h/o of chills .
Fever associated  with cough and cold then she went to a local hospital were treatment taken and subsided. Then fever reappeared  3 days ago high grade fever associated  with  chills .

HISTORY OF PAST  ILLNESS : -
N/k/c/o Dm, hypertension,asthma epilepsy 
K/c/o  thyroid  since 12 years

PERSONAL HISTORY :-
Married
Appetite: Normal
Mixed diet
Allergies:-No
Adequate  sleep
Menstrual history:-
Age of menarche: 12yrs
Age of menopause  : 45 yrs
Regular bowel movements 
Normal micturation

FAMILY HISTORY:
No history of diabetes , hypertension 
Asthma ,stroke.
 
GENERAL EXAMINATION : 
 Patient is conscious,coherent,coperative 
No history  of  cyanosis, clubbing
Lymphadenopathy, pallor, edema
Physical  status :moderately built
Adequate hydration 

VITALS
 Tempr-98.3F
 PR- 106
RR-16
BP-120/90

SYSTEMIC  EXAMINATION:
Cardiovascular system
Cardiac sounds: S1 S2+
Respiratory system
Dyspnoea: No
Wheeze: No
Shape Abdomen : scaphoid
DIAGNOSIS  :-
Dengue fever   thrombocytopenia 
INVESTIGATIONS:- 
TREATMENT :-
TAB Dolo 650 mg
TAB pan  40 mg
TAB Thyronoma 100mg

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