A 24 year old female came with the chief complaints of fever 3 days back , generalized weakness since 3 days
The patient was apparently alright 3 days back then she developed weakness. She developed fever which was high grade, intermittent, with diurnal variation. It was not associated with cold and cough, SOB, chest pain, abdominal pain.
She complained of 4-5 episodes of vomiting which was non bilious, non projectile, contained food particles. She had burning micturition which subsided after taking medication.
She had 1 episode of blood in the stool 6 days before the onset of fever.
No epistaxis, bleeding gums
She is a lactating female with history of 2nd LSCS 7 months back. The baby tested positive for NS1 2 days back when she had similar symptoms.
Past history
N/k/c/o DM, GDM, HTN ASTHMA, EPILEPSY, TB
H/o LSCS
Family history
Not significant
Personal history
Diet - mixed
Appetite - normal
Sleep - adequate
Bowel and bladder -regular
On examination
Pt was concious coherent and cooperative
Vital:
BP
PR
RR
SpO2
GRBS
CVS S1 S2+
RS BAE+
CNS -NFND
P/A- SOFT, non tender
Provisional diagnosis
Treatment
