Dengue NS1 +ve

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AMC 

Bed no- 5

A 27yr old male patient came to the casualty with 

c/o fever since 2days .

HOPI - 

Patient was apparently asymptomatic 2days back then he developed fever which is high grade , intermittent , relieves on taking medication associated with headache since 1day , body pains .

No H/o vomitings, loose stools , giddiness, pain abdomen.

No rash & bleeding manifestations .

No H/o retro orbital pain , joint pains .

Past History - 

Not a k/c/o HTN , DM,TB, Asthma , CAD, CVD 

Personal history -

Diet - mixed

Appetite - normal

Bowel & bladder movements - regular 

No addictions

Family history - not significant

On Examination 

patient is c/c/c

No pallor , icterus , cyanosis , clubbing lymphadenopathy ,  edema

Vitals -

Temp - Afebrile 

PR - 102bpm

BP - 100/80 mmHg

RR -14cpm

SpO2- 98%@RA

Systemic examination -

CVS - S1 S2 +VE 

RS -BAE +VE , NVBS +VE 

P/A - soft , non tender , BS +ve 

CNS - NAD 

Provisional diagnosis - 

Dengue - NS1 +ve  

Investigations

Treatment -

IV fluids NS, RL,DNS - 75ml/hr 

T.PCM 650MG /PO/TID 

T.PAN 40MG /PO/OD

T.MVT /PO/OD