A 23 year old male who is a student came with the complaints of fever since 1 week
HOPI :
Patient was apparently asymptomatic one week ago then he developed fever which is of continuous type associated with chills,
headache which was relieved with medication ,
vomitings - 3 episodes ,non-projectile ,food as contents
Then he went to a local hospital in nalgonda where his hemogram was tested and had platelets count - 2.20 lakhs /cumm and was given medications .These medications were used for 3 days but fever didn't come down so they again went to narketpally clinic where his platelet count was 46,000
.there he was kept on IV fluids , injections (no documentation ) and tablets
Then next day morning again his plt was 46,000 continued with the same treatment
On the same day evening his plt was 48,000
Next day evening his plt came down to 35,000 after which they have decided to admit and came to Kim's , narketpally .
Past history :
Not a k/c/o diabetes mellitus , hypertension,asthma ,tb ,epilepsy , cad
No similar complaints in the past
Family history :
Htn in his paternal grandmother since 20 years and is on medication
Personal history :
Diet - mixed
Appetite - normal
Sleep - adequate
Bowel and bladder habits - regular
No addictions
General examination :
Pt is c/c/c
Temp -98.3 degree f
Pr - 75 bpm
RR -17 cpm
GRBS - 120 mg /dl
Spo2 -99%@ ra
Systemic examination :
CVS - S1 S2 +
Rs - bae +
P/a - soft , non tender
CNS - nfnd
Ecg
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