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A 40 year old male, labourer by occupation came with fever since 5 days and cough since 5 days

History of present illness 

Patient was apparently asymptomatic since 5 days ago and then developed high grade fever, associated with chills and productive type of cough,with mucoid expectoration.

1.Fever 

  Since 5 days High grade associated with chills                        

2. Cough 

  Productive type with mucoid expectoration 

3.Loose stools 7 episodes  3 days ago

Past History 

*Known case of Hypertension Since 3 yrs

Amlodipine 5 mg

Metoder xl 50 mg

Not a known case of DM,Asthma, epilepsy,TB

Personal History 

Diet:Mixed

Appetite:Normal 

Sleep:Adequate 

Bowel and bladder Movements-Regular 

Addictions:Drinks alcohol occasionally and chews betel leaf

General Examination 

Patient is conscious,coherent,cooperative 

Moderately built and nourished

No pallor,icterus,clubbing,Edema of foot,koilonychia

Vitals

Temperature-101.2 F

BP-170/110 mm hg

Systemic examination

CVS- S1 S2 +

RS- BAE+

P/A - soft,nontender 

CNS- NAD

Investigations:-

Hemogram -

Hb- 15.3 gm%

Tlc- 2200

Plt- 24000

Pcv- 42.3

Mcv- 80.7 

Provisional Diagnosis 

Dengue NS1 Antigen positive with thrombocytopenia