A 60 YEAR MALE PATIENT WITH FEVER ,CHILLS,RIGOR &LOSS OF APPETITE.
A 60 year male patient with fever ,chills, rigorand loss of appetite
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Chief Complaints:
Pt complaints of fever and chills since 5 days and constipation since 4 days.
History of Present Illness:
Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors.
C/o decreased appetite since 5 days.
C/o constipation since 4days.
No H/o bleeding and dark colored stools.
Increased frequency of micturition since 1 month.
Headache, weakness on and off.
History of Past illness:
No H/o DM, BP, TB, CAD,CVD, Asthma.
Personal History:
Diet: Mixed
Sleep:Adequate
Appetite: Lost
Bowel and Bladder movements: Regular
Family History:
No known similar complaints in the family.
General Examination:
Vitals:
Temp:Afebrile
Respiratory rate:18bpm
Pulse: 86/min
Blood pressure:110/70mm hg
Sp O2 98
Systemic Examination:
Cardiovascular Examination:
Thrills: No
Cardiac sounds:S1S2 positive
Cardiac murmurs:No
Respiratory system:
Position of trachea:Central
Breath sounds:Vesicular
Adventitious sounds: Negative
Abdomen
Shape of abdomen: Scaphoid
Tenderness:No
Palpable mass:No
Henias orifices:Normal
Free fluid:No
Bruits:No
Liver: not Palpable
Spleen :Not palpable
Bowel sounds: Yes
Central Nervous system:
Pt is conscious,coherent, co-operatively oriented to time and place.
Speech: Normal
Provisional Daignosis:
Viral pyrexia with Thrombocytopenia
Investigation:
Diagnosis:
Viral pyrexia with Thrombocytopenia
Treatment:
