Internal medicine

NAME: BALAKRISHNAN SARVESH KUMAR

ROLL NO: 23

IMD-18

Additional questions:

 Does the patient have any pain in these regions (Muscle, bone and joint )

 Does she have any sought of pain in the eyes?

 Does the patient have Bleeding gums or nose?

 Does the patient have blood in the stool or urine or vomit?

 Has the patient felt any kind of restlessness?

Physical maneuvers:

 Pulse and Blood pressure

 Urine output
 Skin
 Lungs (Pleural effusion)
 Extremities (pedal edema)
Diagnosis:

Dengue Fever
The patient had remittent fever for 3 days with bifrontal headache, body malaise, hypogastric pain.

Differential diagnosis:

EBOLA

Rule in:

 Fever
 Bifrontal headache
 Hypogastric pain

Rule out:

 Gastrointestinal symptoms including diarrhea and vomiting

 Unexplained hemorrhaging, bleeding or bruising
  Weakness and fatigue

MALARIA

Rule in:

 Myalgia
 Fever
 Bifrontal Headache

Rule out:

 Nausea and vomiting

 Sweating
 Chills

INFLUENZA

Rule in:

 Fever
 Body malaise

Rule out:

 Rhinorrhea
 sore throat
 conjunctivitis

LEPTOSPIROSIS

Rule in:

 Fever
 Body malaise
 Bifrontal headache

Rule out:

 vomiting
 chills
 Red eyes