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

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