chownika

28 y M patient came with C/o fever 5 days back
Head ache since 5 days back
H/o diarrhoea 15 days back for 3 days 3episodes per day.
No cold ,cough ,burning micturitions,body rashes.
Ns1 antigen positive.
C/o generalised weakness since 4 days.
No H/O headache
No h/o vomitings
No c/o cold, cough
No H/O burning micturition
No h/o hematuria
No H/O constipation
No H/O abdominal pain & tenderness
No H/O palpitations,chest pain, syncopal attacks
No H/O loss of apetite, decreased sleep
No H/O loss of consciousness/fatigue/weakness
Not a K/C/O Diabetes, Hypertension, Asthma, Epilepsy,T.B,CVA,CAD
No past history of similar complaints
No past history of hospitilization or surgery
Diet :mixed
Sleep :adequate
Bowel and bladder :regular
Appetite: normal
Micturition :normal
General examination:
No pallor, icterus, cyanosis, clubbing, lymphadenopathy and pedal edema
Vitals:
Temperature:99 F
Pulse:82bpm
Blood pressure:130/90mm of hg
Respiratory rate:22 cpm
SpO2:98 %at room air
Systemic examination:
Cvs:s1s2 heard
No murmurs
Respiratory system:
Bilateral air entry present
Per Abdomen:
Scaphoid abdomen,no tenderness,no palpable mass. Bowel sounds heard.
Liver and spleen not palpable.
Cns:
No abnormality detected.
Provisional diagnosis:
Viral pyrexia with thrombocytopenia
NS1 antigen positive
No previous 

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