60 year male patient with fever ,chills, rigorand loss of appetite

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Chief Complaints:
Pt complaints of fever and chills since 5 days and constipation since 4 days.

History of Present Illness:
Patient is asymptomatic since 5 days ago then developed low grade fever associated with chills and rigors. 
C/o decreased appetite since 5 days.
C/o constipation since 4days.
No H/o bleeding and dark colored stools.
Increased frequency of micturition since 1 month.
Headache, weakness on and off.

History of Past illness:
No H/o DM, BP, TB, CAD,CVD, Asthma.

Personal History:
Diet: Mixed 
Sleep:Adequate 
Appetite: Lost
Bowel and Bladder movements: Regular 

Family History:
No known similar complaints in the family.

General Examination:

Vitals: 
Temp:Afebrile
Respiratory rate:18bpm
Pulse: 86/min
Blood pressure:110/70mm hg
Sp O2 98

Systemic Examination:

Cardiovascular Examination:
Thrills: No
Cardiac sounds:S1S2 positive 
Cardiac murmurs:No

Respiratory system:

Position of trachea:Central
Breath sounds:Vesicular
Adventitious sounds: Negative

Abdomen
Shape of abdomen: Scaphoid
Tenderness:No
Palpable mass:No
Henias orifices:Normal
Free fluid:No
Bruits:No
 
Liver: not Palpable 
Spleen :Not palpable
Bowel sounds: Yes

Central Nervous system:
 Pt is conscious,coherent, co-operatively oriented to time and place.
Speech: Normal

Provisional Daignosis:
Viral pyrexia with Thrombocytopenia 

Investigation:





Diagnosis:
Viral pyrexia with Thrombocytopenia 

Treatment:

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