DENGUE FEVER

This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent.

Here we discuss our individual patient problems through series of inputs from  available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input.

This E-blog also reflects my patient's centred online learning portfolio.

I have been given this case to solve in an attempt to understand the topic of "Patient Clinical Data Analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.

60 year old female came to casualty with chief complaints of fever since 10 days and Back pain since 20days

.HISTORY OF PRESENT ILLNESS:

Patient was apparently asymptomatic 20 days back then she developed backpain which is dragging and aggravated onsitting and relieved on medication 

Complaint of fever since 10 days which is high grade continuous relieved on medication. 

Burning micturition since 10 days

History of vomitings 2-3episods in 10 days

HISTORY OF PAST ILLNESS 

Not k/c/o HTN,diabetes, asthma,tuberculosis,epilepsy 

.HISTORY OF headache generalized  2days

PERSONAL HISTORY 

.occupation; house wife

Appetite:normal 

Diet:mixed 

Bowel and bladder:regular

No known allergies

FAMILY HISTORY

Not significant  

PHYSICAL EXAMINATION 

No pallor,icterus,cyanosis,clubbing,lymphadenopathy, oedema

Temperature:36.1C

PR:86bpm

BP:110/70mmhg

RR:18cpm

Spo2:98ì%

GRBS:100mg/dl

SYSTEMIC EXAMINATION 

Abdominal examination 

 Inspection

Shape -scaphoid

Umblicus-inverted

Equal movements in all quadrants

No visible pulsation,dilated veins,localized swellings

not significant 

CVS :No thrills,no murmurs,s1 and s2 heard

RESPIRATORY SYSTEM

 bilateral air entry present,NVBS,no crepts

CNS -NAD

PROVISIONAL DIAGNOSIS 

DENGUE FEVER

INVESTIGATIONS :

LFT

TREATMENT ;