13 yr old with fever and shortness of breath
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:
13 years old boy came to casuality with chief complaints of fever 4 days back and complaints of shortness of breath 2 days back
Fever is intermittent type, low grade in nature with no diurnal variation and was not associated with chills or rigors . For which he was taken to a local hospital and fever subsided with medication and later he developed shortness of breath after 2 days which was Grade 2 on ordinary activity and was taken again to a local hospital and was advised for corona testing hrct and rtpcr which came out negative .he Complains of loss of appetite and constipation.
No complains of vomitings, cough, cold, dysuria, loose stools, chest pain, burning sensation in chest, palpitations ands pallor.
No similar complaints in the past history.
Not a k/c/o hypertension, diabetes, epilepsy, asthma, tuberculosis or any other systemic illness.
No h/o any past surgeries.
On examination:
Patient was conscious coherent and cooperative.
General physical examination
No pallor,icterus,clubbing,lymphadenopathy, pedal edema
Vitals:
Temperature: 98.6 F
Pulse : 82 bpm
Respiratort rate: 18 cpm
Blood pressure: 100/80 mm hg
Spo2: 98% at room air
CVS: S1, S2 heard, no murmurs
Respiratory system: Bilateral air entry present, normal vesicular breath sounds heard, no added sounds heard
Per abdomen: soft, non tender, bowel sounds heard
CNS : GCS: E4V5M6
no abnormalities detected
Investigations
