A 60years Old Patient With Dengue Fever

THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT 
CHEIF COMPLAINTS:-
C/O back pain since 20 days 
C/O fever since 10 days 
C/O burning Micturition since 10 days 
HISTORY OF PRESENT ILLNESS :-
Patient admitted in hospital on 24-3-2022 at 5:40pm.
Patient was apparently asymptomatic 20 days ago. Then developed back pain- dragging type, aggravated on sitting, relieved with medication and rest. 
C/O fever since 10 days- high grade, continous, 
relieved with medication (PCM - TID).
H/O burning micturition since 10 days .
H/O vomiting 2-3 episodes in 10 days ( non billions, non projectile).
HISTORY OF PAST ILLNESS :-
H/O headache- generalized since 2 days 
No H/O blurring vision. 
No H/O cough, cold, loose stools,joint pains.
N/K/C/O  DM, Hypertension,TB,epilepsy,CVA,BA, Thyroid disorders,CAD,Asthma, Antibiotics, Hormones, chemo/radiation, blood transfusion. 
PERSONAL HISTORY:-
Married
Diet- Non veg
Bowels- regular 
Micturition- burning micturition since 10 days 
Known allergies- no
FAMILY HISTORY:-
no significant family history 
GENERAL EXAMINATION:-
no pallor, cyanosis, icterus, lymphadenopathy, clubbing of fingers or toes, Oedema of feet, malnutrition, dehydration. 
VITALS:-
Temp- 36.1c
Pr- 86/ min
Rr-18/ min
Bp-110/70 mm /Hg
Spo2- 98%
SYSTEMIC EXAMINATION:-
a)CVS - S1 S2 Positive 
b)Respiratory system-NVBS Positive 
                                  -BAE Positive 
c)Abdomen- soft, non tender
d)CNS
    Level of consciousness- alert
    Speech- normal 
     Signs of meningeal irritation like neck           
      Stiffness, kerning 's sign- no
     Cranial system, motor system, sensory 
     system- normal.
     no cerebral signs
INVESTIGATIONS:-







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