case ppt on breakbone fever

1. CASE PRESENTATION
Dengue Fever
by
Nagaraju B
dr.bnr2011@gmail.com

2. Patient Name
IP/OP No
DOA
DOD
Department
Unit
Age
Sex
-XXXX
-14436/13
- 26/12/13
- 31/12/2013
- Med
- IV
- 42years
- Male

3. SUBJECTIVE
Chief complaint/ History of Presenting illness:
c/o intermittent fever since 1 week
c/o abdominal pain, headache since 5 days
c/o nausea and vomiting since 2 days
c/o redness of eyes & blood stained sputum since morning
Previous history:
Patient was treated with Tab. Augmentin 625 bd & Tab.
Sinarest tds for last 4 days at local hospital, Ramanagaram
Past MedicationHistory/Allergy:
Nothing significant

4. Personal history:
Diet- Mixed
Appetite- Decreased
Sleep- Decreased
Bowel – Regular
Bladder- Normal
Habits- None
Family history:
no f/h/o DM, HTN, ASTHAMA, TB
OBJECTIVE
Physical examination :
Vital signs:
BP - 122/80mmHg
RR – 20cpm
PR – 88bpm
Temp – 102 F.

5. P[-], I[-], C[-], C[-], L[-], E[-]
Systems:P/A
RS
CVS
CNS
NAD
Provisional diagnosis :
 ? VF

6. Test
Test Value
26/12 27/12
28/12
29/12
Normal Value
30/12
31/12
Urine Routine
Sug/Alb/BS/BP-NAD; Microscopy-2-3 pc
Body Temp
102.0
101.2
100.1
99.5
98.6
98.2
37 °C (98.6 °F)
Hematocrit
32.9
25.9
23.3
25.3
25.7
23.7
42% to 54%/100ml
Total WBC
6900
2600
2400
2700
3100
4300
4000-11000cells/cmm
DC: N
66
47
25
30
33
60
40-75%
L
24
46
66
61
57
34
20-45%
Atypical L
0
0
1
2
0
0
0%
E
2
1
2
3
7
3
1-6%
M
4
2
2
2
0
2
2-10%
B
4
4
4
2
3
1
0-1%
Platelets
1.77
0.85
0.97
1.15
1.23
1.37
1.5-4.0 lakh/cmm
PS for MP
NEGATIVE
AST
45
42
26
8-40 iu/L
ALT
85
72
46
8-40 iu/L
Dv IgM
+ve
_ve

7. ASSESMENT
Based on the subjective & objective evidence the
patient was diagnosed to have Dengue Fever.

8. TREATMENT CHART
BRAND NAME
GENEROIC
NAME
DOSE
FREQU
ENCY
DATE
DATE END
Domperi-10DT
Domperidone
10mg
1bd
26/12
30/12
Inf.5%D
Dextrose5%
1pint
4hrly
26/12
30/12
Inf.DNS
Dextrose Normal
Saline
2pints
3hrly
26/12
30/12
Inf. RL
Ringer’s Lactate
2pints
3hrly
26/12
29/12
Inj. Febrinil
Paracetamol
150mg
1sos
26/12
29/12
MEDICINE ON DISCHARGE
(DAMA)
Tab Supradyn
Multivit&Min
1od
Tab Dolo650
Paracetamol
1sos

9. PLAN
Suggestion to PhysicianNo drug interaction is found.

10. Advice to patient The main cause for the Dengue fever is Dengue virus
spreaded by Mosquito. So Insecticides should be used
to avoid mosquitos.
 Eliminate stagnant water that serve as mosquito
breeding sites at home, workplaces and their vicinity.
 Using mosquito nets at home and patients need to be
kept under mosquito netting until the second bout of
fever is over and they are no longer contagious.
 Cover overhead tank to prevent access to mosquitoes.
 Dispose of garbage on a regular basis.
 Store trash in rodent-proof containers, and clean the
containers often.
 Avoid unnecessary till fully recovers.
 Diet: low fat, low fibre, non-irritated, non-carbonated.
Noodle soup may be given.

11. THANK YOU…