Ujwala 137

  Study on IV and oral paracetamol efficacy https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783910/#:~:text=Patients%20who%20received%20intravenous%20paracetamol%20had%20a%20higher%20mean%20first,SD%201.76%2C%20p%20%3D%200.1593 https://scholar.unair.ac.id/en/publications/efficacy-and-tolerability-of-intravenous-paracetamol-compared-to-#:~:text=Normal%20temperature%20achievement%20were%20higher,in%20reducing%20fever%20in%20children Inference Both the studies say that IV paracetamol takes lesser time to reduce the symptoms but also the adverse effects similar with the both IV and oral treatment  Mortality due to  dengue haemorrhage  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3862602/ Study done on deaths in dengue patients between 2009 and 2010 - autopsy findings in 6 patients out of 12 deaths among 1032 dengue patients revealed that death is due to multiorgan dysfunction secondary to bleeding diathesis and hypotension IV fluid management in dengue fever. https://www.google.com/url?sa=t&

 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 clinical problems with collective current best evidence based inputs 25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days. History of presenting illness: Patient was apparently asymptomatic 5 days back the she developed fever  which is sudden in onset, continuous ,high grade fever, associated with chills and rigors relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains. History of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive) History of abdominal pain, burning mict