A 24 yr old primi, gravida with viral pyrexia and suprapubic pain

September 01, 2022

A 24 yr old primi, gravida with viral pyrexia and suprapubic pain

A 24 year old primi gravida, homemaker who is a resident of nalgonda presented to Casuality with the chief complaints of Fever since 4 days, Vomitings since 2 days and Suprapubic pain 4 days back.

HISTORY OF PRESENT ILLNESS -

The patient was apparently asymptotic 4 days back then She developed fever which was insidious in onset, intermittent in nature and of high grade assosiated with chills and rigors, which subsided on use of medication.

Initially she went to government hospital for antenatal checkup and after 3 days she developed fever and was taken to the government hospital on that day itself where she was diagnosed as positive for ns1 antigen (dengue positive). The doctors over there referred her to our hospital.

She developed suprapubic pain, which was of dragging type, when the fever started and it has gradually decreased in its intensity, but she complains of slight burstouts of pain sometimes.

There is History of Vomitings of 2episodes/day immediately after consumption of food containing food particles and is non bilious,non projectile, non foul smelling and non blood stained.

There is H/O of Burining micturition

No history of loose stools, rash, hematuria, malena

PAST HISTORY -

She is not a known case of diabetes, hypertension,asthma,cad,epilepsy

PERSONAL HISTORY -

Diet-mixed

Apetite -normal

Sleep-adequate

Bowel and bladder movements -normal

Addictions - toddy occasionally

FAMILY HISTORY -

not significant