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Cold shivers after a hot trip

Cold shivers after a hot trip. General Data. 33 y/o News correspondent. History of Present Illness. He had a 3 month assignment in Palawan Took chloroquine weekly for malaria prophylaxis. Fever, chills, and headache 2 weeks Treated with sulfadoxine-pyrimethamine ( Fansidar )

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Cold shivers after a hot trip

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  1. Cold shivers after a hot trip

  2. General Data • 33 y/o • News correspondent

  3. History of Present Illness • He had a 3 month assignment in Palawan • Took chloroquine weekly for malaria prophylaxis • Fever, chills, and headache • 2 weeks • Treated with sulfadoxine-pyrimethamine (Fansidar) • 2 other companions also experienced similar symptoms

  4. Physical Examination • Ill-looking but well-nourished male • Temperature – 40˚C • PR 110 bpm • RR 22 breaths per minute • BP 120/60 • Pale palpebral conjunctiva • Icteric sclera • Pupils equally reactive to light • JVP is normal • (-) thyromegaly • Heart and Lungs are normal • Traube’s space is obliterated • No skin lesions nor pedal edema

  5. Objective Findings Positive • High Fever • Tachycardia • Tachypnea • Icteric Sclera • Splenomegaly • Negative • Absence of skin lesions

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