54 geetha

  November 30 2022 A 14 year old male patient came to OPD with a complaint of high grade fever since 4 days  History of present illness: Patient was apparently asymptomatic 4 days back then he had high grade fever which did not relieved on medication.Then patient had loose stools(watery)and vomitings (bilious type ) and had developed headache .Then patient had developed bluish discolouration of fingers . History of past illness : Not a known case of htn/dm/asthma/leprosy/epilepsy History of injury to index finger and surgery done to finger at 1 year of age . Personal history : Appetite :normal  Mixed diet  Bowel :regular  Micturation :normal Occupation : student Family history : No relevant family history   GENERAL EXAMINATION: Patient is examined under well lit room and adequate ventilation with his consent taken . Patient is conscious,coherent and cooperative well oriented to time ,space and person. He is moderately built and nourished. Lymphadenopathy is present  No pallor ,cyanosis