General medicine 3rd sem roll no. 25

  This is online e log book to discuss our patient's de- identified health data shared after taking his guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with aim to solve those patients clinical problems with collective current best evidence based inputs.  Bunni Sadhguna  Roll no.  25 A 80 year old male, farmer by occupation, resident  of chittyal came with chief complaints of high fever since 1 week ,breathlessness since 1 day, cough since 5 days. Decreased platelet count. History of present illnesses  Patient was apparently asymptomatic 7 days back and developed fever which is high  grade ,intermittent type,associated with chills and relives by medication.  Patient went to local hospital and was diagnosed dengue positive and got admitted for 5 days . cough since 5 days,wet cough, whitish sputum.  Breathlessness since 1 day,insidious onset gradually progressive