20 year old female with acute gastroenteritis with pyrexia

C/o of fever since 1 days a/w chills and relieved on medication 

vomitings since 1 day 3 episodes, non projectile and non bilious

cough since 1 day , non productive 

No H/o sob,pedal edema, loose stools, pain abdomen 

past History 

not a k/c/o HTN , DM,ASTHMA,CAD,CVA

G

o/E

pt is conscious, coherent, cooperative 

no signs pallor, icterus, cynosis clubbing lymphedenopathy, kilonycia 

system Examination 

R/s_ BAE+

CVS -s1,s2 +

p/A -soft,non tender,not rigid, 

CNA-NAD

Treatment 

oN the day of admission 

1.IVF 1 unit with 1 amp optineuron @50 ml /hr

2.ors sachets 

3.Tab PCM 650 mg po/tid

4.Inj ZOFER 4mg iv/tid

5.syp ASCORIL D 10 ml po/tid

6.TAB ZINCOVIT PO/OD

7.TAB PAN 40 MG PO/OD

day 1

1.Tab AZITHROMYCINE 500 MG PO/OD

2.ors sachets 

3.Tab PCM 650 mg PO/TID

4.TAB ZOFER 4MG PO/OD

5.syp ASCORIL D 10 ml po/tid

6.TAB ZINCOVIT PO/OD

7.TAB PAN 40 MG PO/OD

DAY 2.

1.Tab AZITHROMYCINE 500 MG PO/OD

2.ors sachets 

3.Tab PCM 650 mg PO/TID

4.TAB ZOFER 4MG PO/OD

5.syp ASCORIL D 10 ml po/tid

6.TAB ZINCOVIT PO/OD

7.TAB PAN 40 MG PO/OD