45 YEAR OLD FEMALE CASE OF VIRAL PYREXIA WITH THROMBOCYTOPENIA

C/O 

fever since 3 days

Dark coloured stools since 2 days

HOPI:

Patient was apparently normal 3 days back then she developed high grade fever a/w chills

Dark coloured stools present

No Burning micturition

No pain abdomen

No neck stiffness

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 - 80bpm

BP - 110/80 mmHg

RR -16 cpm

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 - 

Viral pyrexia 

with Thrombocytopenia

TREATMENT:

1.IVF 2 UNITS NS @100ml/hr

2.Tab pan 40mg OD

3.Tab PCM 650Mg TID

4.INJ Optineuron 1amp on 100ml NS OD

4.Monitor vitals and inform sos