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Suggest Treatment For High Fever, Chills, Nausea, Vomiting And Body Aches
Question: My 29 yr old grandson was on a business trip returned yesterday with high fever., chills. Nausea vomiting. Severe aches and joint pain. Seemed like flu. I just noticed he has multiple (over a 100) petechia on his feet. Some are red some bruise like, also a few on his hands. They are flat and have no apparent center or open area. Feverish Dow to 96.8. Severe headache,joints etc. No drugs or alcohol use, he is an accountant.
Brief Answer:
Considerations
Detailed Answer:
hello and thanks for sending question.
I agree the symptoms sound like a viral type of syndrome. However, the appearance of petechiae on the feet including associated bruising is actually concerning. I think he needs to be evaluated as soon as possible by his primary care physician.
If his primary care physician is not available I would suggest that he look for a local urgent care or emergency room where he can be evaluated.
evaluation would include a focus consultation, physical examination and some blood tests to make sure that there is no abnormality related to his platelet count or blood coagulation.
Some infections can actually cause a significant drop in platelet count in addition to multiple other issues including fevers, chills, reduced kidney function among others.
again I think he should be evaluated as soon as possible. This may be passing viral syndrome but the physical findings with you reported are concerning enough that I think he needs an evaluation and laboratory testing.
Thank you again for sending the question.
Sincerely,
Dr. Galamaga
Considerations
Detailed Answer:
hello and thanks for sending question.
I agree the symptoms sound like a viral type of syndrome. However, the appearance of petechiae on the feet including associated bruising is actually concerning. I think he needs to be evaluated as soon as possible by his primary care physician.
If his primary care physician is not available I would suggest that he look for a local urgent care or emergency room where he can be evaluated.
evaluation would include a focus consultation, physical examination and some blood tests to make sure that there is no abnormality related to his platelet count or blood coagulation.
Some infections can actually cause a significant drop in platelet count in addition to multiple other issues including fevers, chills, reduced kidney function among others.
again I think he should be evaluated as soon as possible. This may be passing viral syndrome but the physical findings with you reported are concerning enough that I think he needs an evaluation and laboratory testing.
Thank you again for sending the question.
Sincerely,
Dr. Galamaga
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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