Make notes like this for viral fever
Handwritten medical case notes on white lined paper, neat blue and black ink handwriting, clinical style like a doctor's study notes. The note reads exactly as follows: Case - Viral Fever C/O • High grade fever (38.5–40°C), sudden onset • Headache, bodyache, myalgia • Fatigue / malaise • Loss of appetite • Runny nose / sore throat (catarrhal symptoms) • Mild nausea Most Probable Diagnosis Viral Fever (URTI / Flu-like illness) Advice Rx • CBC ① Tab. Paracetamol 500mg / 1tab X TDS • MP / Widal X 5 days (after food) • Dengue NS1 Ag ② Tab. Cetirizine 10mg / 1tab X OD • LFT X 5 days (at night) • Urine R/M ③ Tab. Pantoprazole 40mg / 1tab X OD X 5 days (before breakfast) Always R/O ④ Syp. Cough (if cough present) Dengue / Malaria / e.g. Syp. Benadryl 10ml X TDS Typhoid ⑤ ORS / Electrolyte sachets — adequate hydration ⑥ Tepid sponging for high fever Lifestyle Complications Modification • Febrile seizure (children) 1) Bed rest • Secondary bacterial 2) Plenty of fluids infection (pneumonia, 3) Light diet sinusitis) (khichdi / dal-rice) • Dengue / Malaria 4) Avoid cold drinks (if fever > 5 days) 5) Steam inhalation • Hepatitis (if blocked nose) • Encephalitis (rare) R/A 3 days If fever persists > 5 days → re-investigate Rule out: Dengue / Malaria / Typhoid / COVID Sources - Harrison's 22nd Ed. - Nelson's Pediatrics - NICE Guidelines
