A 21 year old pregnant women with 4days of fever chills and rigor

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.







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





I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.

A 21 year old pregnant patient came to OPD with a cheif complaints of fever since 4 days
Associated with chills and rigor

HISTORY OF PRESENTING ILLNESS-
Patient was apparently asymptomatic 4 days back and then she developed fever which was sudden in onset and high grade.assosiated with chills and rigor.
Relieved on medication
No nausea and vomiting
No burning micturation
No  cough /cold
No h/o rashes / bleeding manifestation.

PAST HISTORY- 
No h/o diabetes
No h/o hypertension
No h/o TB 
No h/o asthma
No h/o epilepsy

FAMILY HISTORY-
No relevant family history

PERSONAL HISTORY-
Diet - mixed
Appetite- normal
Sleep- adequate
Bowel and bladder- regular
Addictions - no addictions

General examination
Patient is conscious coherent and cooperative well oriented to time place and person.
No pallor
No icterus
No clubbing
No cyanosis
No lymphadenopathy
No edema

Temperature- afebrile 
Pulse rate - 110 bpm
RR- 25
Bp- 110/70
SpO2- 98%

SYSTEMIC EXAMINATION-
Cardiac sounds- S1 and S2 present
Cardiac murmers- no
Respiratory system
Breath sounds- vesicular 
Abdomen-
P/A - no tenderness
Provisional diagnosis -
Viral pyrexia with thrombocytopenia
NS1 antigen positive.

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