17 YR OLD FEMALE WITH 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 intending to solve those patients' clinical problems with collective current best evidence-based inputs.

Presenting complaints:
C/o fever since 15 days
C/o headache since 15days
C/o cough since 15 days
C/o giddiness since yesterday

HOPI:
A 17 year old female had low grade fever 2hich is intermittent and associated with chills and relieved on medication. Frontal headache since 15days 
There history of dry cough and associated with chest pain took syrup for cough.
Since 5 days there is no fever.

And presented with complaints of fever .

PAST ILLNESS:
 Not a known case of HTN, DM, TB, Epilepsy.

PERSONAL HISTORY:
APPETITE IS NORMAL
DIET IS MIXED
BOWEL AND BLADDER - REGULAR
NO HABITS.

GENERAL EXAMINATION
PR 85cpm
RR 36bpm
Temp 98.9
SpO2 99%

23/08/2022
There is history of Malena and hematuria.







              Petechiae on palate

Ultra sound - abdomen

2D ECHO

CHEST XRAY REPORT




Fever charting




Investigation chart 






Treatment:
 
1)IVF @50ml/hr
2) 2 UNITS of SDP on 23/08(1unit) and 24/08(1unit)
3)inj. NEOMOL 100ml/iv/sos 
4) TAB. DOXY 100mg/po/BD

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