A 23 year old male with thrombocytopenia with umbilical hernia





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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Here is a case i have seen: A 23 yr old male came with 
c/o fever since 2 days 
c/o generalized body ache since 2days
pt had swelling above the umbilicus since 2 years 
HOPI-pt was apparently asymptomatic 2days back then he developed fever which is sudden in onset gradually progressive ,relieved on medication, continuous type  associated with chills and lower back ache 
no H/o headache ,retrorbital pain ,rashes ,burning micturition,cold,cough,
general examination
patient was conscious coherent cooperative 
vitals 
bp 110/70mmHg
PR-87bpm
RR-17cpm
Spo2-99%
systemic examination 
cvs-s1,s2+,
Rs-BAE+,NVBS+
P/A -soft ,non tender,no rigidity
CNS-NAD






DIAGNOSIS-Thrombocytopenia with supra umbilical Hernia
Treatment 
IVF-1NS ,1RL,1DNS 
Plenty of oral fluids 
Inj optineuron 1 amp IV in 100 ml
Inj zofer 4 mg /IV /sos

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