Man Mohan/36/nepal/male

NKMI/NKDA

Non Smoker

work as security guard

work in malaysia since 4.5years ago

P/w

1)fever x 6/7 (onset 15/12/19)

+chills & rigor

+myalgia, artralgia, headache

O/w no bleeding tendency, no abd pain, no GI losses, no URTI/UTI, no vomiting

tolerating orally normal.

went to private GP from 19/1/19 to 20/12/19

PLT 77>47

WCC 2.8>4.2

HCT 43>47

referred from private GP for dengue fever with hemoconcentration

At ED

alert,concious, CRT<2sec, warm peripheries

BP 124/87

PR 77

Spo2 98RA
T37.1

Lungsclear

CVS DRNM

PA snt

VBG no acidosis, lact 2.68

FBC Hb 16.4/ WCC 4.78/HCT 46.2/ PLt 35

IMP Dengue fever day 6 of illness in deferversence phase with warning sign (hemoconcentaration), not
in shock.

Given IVD 3ml/kg/h

Post bolus: FBC PLT 36>56/ HCT 46> 43

In ward

Afebrile, tolerating orally, able to drink 1.5l perday

O/e alert,concious,gcs full, warm peripheries, CRT <2sec

BP 130/90

HR 69

Spo2 98RA

T37

Lungs clear

CVS DRNM

PA SNT

Plan
notify dengue, strict I/O charting, ENcourage orally, IVD 1CC/KG/H= 68cc/Hour, wathc out warning sign

upon discharge

Dengue fever day 7 of illness in deferversence phase

NO active complain

O/E alert, CCTVR is good

BP 140/84

PR 59

T37

Spo2 96RA

Lungs clear

CVS DRNM

PA SNT

Allow discharge