30y/f c/o fever since 4 days( padma)
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CASE PRESENTATION:
A 30 yr old female who is an housewife came with
C/O Fever since 4days
GENERAL EXAMINATION
PATIENT IS CONSCIOUS,COHERENT AND, COOPERATIVE
THERE IS NO PALLOR,ICTERUS,CYANOSIS,
VITALS
PR:78BPM
RR:20CPM
BP:110/80MMHG
GRBS:99MG/DL
SpO²- 99% @ room air
CVS: S1,S2 HEARD NO MURMURS
RS: BAE+,NO ADDED SOUNDS
CNS: NAD
P/A: SOFT,NONTENDER ,BOWEL SOUNDS PRESENT
REFFERED TO DVL:
C/O SMALL VESICLES OVER BOTH THE LIPS SINCE 3 DAYS ASS WITH PAIN
C/O SWELLING OF THE LT EYE (AROUND LOWER ORBITAL AREA)SINCE MORNING.
H/O FLUID FILLED LESION INTIALLY 1 EPISODE
O/E:RUPTURED HEMORRHAGIC VESICLES NOTED ON BOTH UPPER AND LOWER LIP WITH CRUSTING.
DIAGNOSIS:?HERPES SIMPLEX VIRUS INFECTION
TREATMENT:FUDIC CREAM L/A B/D 1WEEK
INVESTIGATIONS:
RBS:145mg/dl
FBS:70mg/dl
HbA1c:6.5%
Serology: Negative
Blood for M.P. strip test:Negative
Blood grouping: A positive
Day2
Day3
Day4
Ecg:
Ultrasound:
Diagnisis:
NS1 POSITIVE DENGUE FEVER
?HERPES SIMPLEX VIRUS INFECTION
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