A CASE OF A 17 YEAR OLD GIRL WITH THROMBOCYTOPENIA

This is an online e log book to discuss our patient’s de- identified health data shared after taking his/her/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 an aim to solve those patient’s clinical problems with collective current best evidence based inputs. This e-log book reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.”

A 17 year old female resident of suryapet came to the casuality with the chief complaint of

CHIEF COMPLAINT
Fever since 1 week
Weakness since 4 days

HISTORY OF PRESENTING ILLNESS
Patient was apparently asymptomatic 1 week back when she developed a fever which was not associated with body pains, headaches,chills,or diarrhoea

On the same day she had a episode of vomiting immediately after eating lunch which consists of food particles
The next two days she had no fever but developed tiredness
The third day she visited a hospital in suryapet and was told she had low platelet count
As the count did not increase but further fell she has come to our hospital

PAST HISTORY
Not a known case of
Diabetes
Hypertension
Tb
Asthama
Epilepsy
Cvd
Chemotherapy

FAMILY HISTORY
Not significant

PERSONAL HISTORY
Diet - mixed
Appetite - 
Bowel and bladder - adequate
Allergies -no
Addiction -none

GENERAL EXAMINATION
Patient is conscious,coherent and cooperative and oriented to time, place and person

Height
Weight
BMI
Thin built and moderately nourished

Vitals
Temperature
Pulse
BP
RR

Pallor
Icterus
Clubbing
Cyanosis
Lymphadenopathy
Pedal edema

SYSTEMIC EXAMINATION
CVS
RESPIRATORY SYSTEM
ABDOMEN
CNS

INVESTIGATION

PROVISIONAL DIAGNOSIS

TREATMENT




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