55 year old female with

55 yr old female who is a home maker came to opd with chief complaints of 

Fever since 4 days

HISTORY OF PRESENTING ILLNESS:

Patient was apparently asymptomatic 4 days back then she developed fever which was high grade and continuous type,  didn't releive on medication.

 H/o 1 episode of vomiting 4 days back contents being food particles,  non bilious,  non projectile.  

H/o giddiness & fall 3 days ago.  

No c/o SOB,  pedal edema 

No c/o melena,  hemetemesis 

K/c/o HTN  since 2 yrs on medication ( Tab,. ATENELOL 50mg PO / OD ) 

PAST HISTORY:

She went to a local doctor 3 yrs back i/v/o generalised itching for which she was prescribed Tab. Prednisolone 10 mg PO/OD & was using it since then 

Not k/c/o DM,  asthma, thyroid disorders , epilepsy 

ON EXAMINATION:

Patient is conscious , coherent and co-operative

Vitals:

Temp: 99.4 f

HR: 78 bpm

RR : 20cpm

BP : 110/80 mm hg

Spo2: 99 @ RA

SYSTEMIC EXAMINATION:

CVS : S1 S2 + . 

RS : BAE + NVBS + 

PA: soft, Non tender   

CNS : NAD 

INVESTIGATIONS:

CHEST X-RAY

ECG:

DIAGNOSIS:

DENGUE ( NS 1 POSITIVE)  

TREATMENT:

IVF - NS, RL @ 100 ml / hr

Inj. PANTOP 40 mg IV / OD 

W/F bleeding, postural hypotension 

Inj. OPTINEURON 1 amp in 100ml NS IV/ OD 

INJ. NEOMOL 1 gm IV /SOS ( if temp > 101 F)  

Tab. DOLO 650 mg PO/ TID