A 14YR OLD BOY WITH FEVER

DR.CHETANA(INTERN)

DR.NAVYA(INTERN)

DR.ABDUL RAHEEM (INTERN)

DR.ASHFAQ(INTERN)

DR.SRAVYA(INTERN)

DR.GNANADHA (INTERN)

DR.CHARAN(PG1)

DR.VAMSI(PG1)

DR.SUSMITHA(PG2)

DR.ADITHYA (PG3)

DR.PRANEETH(PG3) 

DR.PRAVEEN NAIK (ASS.PROF)

DR.RAKESH BISWAS(HOD)

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Here is a case i have seen: 

A 14yr old male , student in 9th class came to the old with c/o of fever since 4days, loose stools since 4days and vomitings since 1day.

patient was apparently asymptotic 4days back then he developed fever which was sudden in onset and associated with chills and rigor mostly in the evening . There is passage of loose stools since 4days which are dark in colour  and vomitings since 1day which is associated with nausea, it is non projectile type with food particles as contents .H/o loss of appetite and burning micturation.

No h/o cold, dry cough , head ache, difficulty in breathing, loss of taste , ear discharge,any previously taken immunisation 

No h/o diabetes,CAD,TB,ASTHMA.

Similar complaints are seen in his cousin brother (he plays with him daily)

GENERAL EXAM

BMI

No signs of pallor,icterus,cyanosis,lymphadenopathy,dehydration,malnutrition 

Temp : 101F    Bp: 90/6omm hg   PR:80bpm   

GRBS :112mg/dl      Spo2:98%@RA

CVS : s1 s2 heard

RESP : trachea positioned centrally,BAE +,NVBS heard

PER ABD :soft and non tender,no organomegaly noted

CNS:NAD