A 80 year old male presented by dengue 1 week back and decrease in plateletcount .
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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 from grade II to grade III.
History of past illness
Not associated complaint of chest pain,excess sweating and no surgical history.
Treatment
No diabetes
Hypertension since 1 year
No asthma
No tuberculosis
No Epilepsy
No blood transfusions
Personal history
He is married, farmer by occupation, normal appetite, Non vegetarian, bowels and micturition is normal with no allergies, chronic smoker and alcoholic.
Family history
Not affected by any disease .
Vital examination
Temperature:febrile
Pulse rate: 94bpm
Respiration rate: 16/min
Grbs:117mg%
General examination
Pallor and icterus present, no Cyanosis, Clubbing of fingers present and no pedal edema, ascites.
Systemic examination
Normal CNS,palpable liver and spleen,
cardiovascular system s1 and s2 +
RS : BAE +
Abdominal: soft,bowel sounds are normal. No distension and no tenderness.
Skin : very dry
Neurological: alert, awake ,able to protect his airway. Moving all extremities. Deaf and no other sensation loss.
Clinical findings
Impression of renal cortical cysts
Multiple cysts found in both the kidneys.
Medication
What is the anatomical location of patient's problem?
Lining of bronchial tubes and both his kidneys.
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