21 year old primi

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. 


Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 

This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Here is a case i have seen:


 A 21 year old primi gravida with 32 weeks gestational  age came to casualty with c/ofever since 3 days and one episode of vomiting yesterday .


Patient was apparently asymptomatic 3 days back  then she developed fever which was high grade associated with chills and rigor relived on medications 

Vomiting content was food particles , non projectile ,non bilious or blood stained 

General examination:patient is conscious,coherent ,cooperative moderately built and nourished 

Vitals :patient is febrile

Bp:120/80mmhg

Pr:84bpm

No pallor icterus clubbing cyanosis lymphadenopathy 

No external bleeding markers,  no ecchymosis , purpura , bleeding gums or hematuria

Cvs:s1,s2+

Rs:bae+,no crepts 

CNS:NAD 

P/a:non tender ,soft


Diagnosis: dengue fever (ns1+) with severe thrombocytopenia 


Investigations :hb: 13.6 g/dl

Rbc:4.69 

WBC:5200 

Platelets : 3800

Usg :


 






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