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A 14 yr male patient presented to OPD with a chief complaint of pain in abdomen,Vomiting,Fever since 4 days back

History of present Ilness

Patient was apparently asymptomatic since  5 days back and then developed fever associated with chills(which relived on medication)

• 2 Episodes of Black coloured stools in 1 day

•2 Episodes of vomiting which are non projectile and associated with food particles 

•Associated with generalised weakness 

•Sudden Onset of Giddiness

Past History

Not a known case of Diabetes Mellitus,Hypertension,Tuberculosis,Asthma,epilepsy 

Family History 

No similar complaints in the family 

Personal History 

Diet: Reduced

Appetite:Reduced

Sleep:Normal 

Bowel and bladder Movements:Normal

General Examination 

No pallor 

No icterus

No clubbing 

No cyanosis 

No lymphadenopathy 

No pedal Edema 

Vitals

Temperature:98.2F

Pulse rate:86

BP:100/70

Systemic Examination 

CVS 

S1 and S2 heard

No murmurs

CNS

Patient is conscious 

Speech normal 

Investigation 

Mild ascitis and Mild Gall bladder edema

Provisional Diagnosis 

Viral pyrexia and Dengue NS1 

Haemogram

Blood Urea

Serum Creatinine 

ECG

Dengue Rapid Test

 

Final Diagnosis 

Dengue with NS1 Antigen Positive 

Treatment 

IVF NS,RL@75ml/hr

Inj PAN 40mg IV/OD

Plenty of oral fluids 

Soft oral diet

Inj optineuron 1 amp in 100 ml NS IV/OD

Strict BP monitoring 4 th hrly