Chikungunya

Clinical Features:

• high Fever 
• Severe malaise 
• Severe joint pain 
• Body ache 
• Severe muscle pain 
• Rash 

Investigation:

• 1)CBC 
• 2)Dengue NS1 (day 1-4)
• 3)ICT for chikungunya 
• 4)Urine RME 

Rx:

• Adequate bed rest
  
• Intake plenty of water(2-3L/Day)
  
• Cold compression in joint (if pain)
  

1. Tab.Napa([post id="449" title="Paracetamol"]) (500mg)

• 2+2+2+2…….3-5 days

2.Tab.Fexo([post id="541" title="Fexofenadine"])(120mg)

• 0+0+1……........7 days

3.Tab.Lexotanil([post id="475" title="Bromazepam"])(3mg) 

• 0+0+1……… 7days

4.Cap.seclo([post id="391" title="Omeprazole"])(20mg) 

• 1+0+1(30 min before meal)….7 days

5. Physitherapy - after recovery from acute conditions if join pain persists 

IF Pt is not improving then referred hospital.