General medicine 1st internal examination
A 60 year old female resident of thakkellapally who is a housewife came with the complaints of fever since 10 days nausea and vomiting since 10 days and productive cough since 10 days History of present illness Patient was apparently asymptomatic 10 days back then she developed fever which is insidious in onset ,continuous with no diurnal variations and not associated with chills and rigors ,relived on medication ,no history of headache history of vomiting and nausea since 10 days almost 2 times a day which is non projectile, non bilious with loss of appetite Complains of Bilateral knee pain for which she is taking NSAIDS since 5 years,no history of other body pains Cough with expectoration with mucoid sputum and associated with pain in back while coughingk No History of burning micturition ,loose stools, pain abdomen ,pedal edema,chest pain, Shortness of breath, palpitations Past history Not a known case of diabetes ,hypertension ,asthma ,epilepsy,coronary...
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