40 YEAR FEMALE WITH VIRAL PYREXIA WITH THROMBOCYTOPENIA
40 y old female came to casuality with complaints of fever 5 days back (resolved) vomitings and loose stools since yesterday
HISTORY OF PRESENTING ILLNESS-
Patient was apparently asymptomatic 5 days back. Then she developed high grade fever which is now resolved. She c/o vomitings since yesterday which were non bilious with food particles as content and loose stools 3-4 episodes, black stools and a few episodes of red stools.
No h/o hematuria, rashes on the body
No h/o burning micturition.
Past history:
Not k/c/o DM, HTN, TB, asthma, epilepsy
Vitals:
Temp: afebrile
PR: 110 bpm
BP: 100/60 mm hg
RR: 20 cpm
CVS: s1s2 heard
RS: BAE+ NVBS+
P/A: soft, non tender, bowels sounds heard
CNS: NFND
Investigations:
HB: 6.8
Platelets: 4000 /cu mm
CUE: alb +++
S alb: 1.0
Diagnosis:
Viral pyrexia (resolved) with thrombocytopenia
With bloody diarrhoea secondary to dysentery? Hemorrhoids?
With anemia under evaluation
With thrombocytopenia
INVESTIGATIONS ON 25/9/2021
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