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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A 50yr old female resident of suryapet came to the op with chief complaints of back pain Fever Bilateral pedal edema Puffiness of face History of present illness Patient was asymptomatic 6months back then she developed the back pain ,fever and pedal edema Past history k/c/o HTN since 7yrs Medication not known No History of DM,TB, epilepsy Personal history Appetite - decreased Diet- mixed Sleep-inadequate No addictions Bladder movements are normal But she has c/o constipation Family history No significant family history General examination No icterus, pallor,cyanosis,clubbing,lymphadenopathy Bilateral pedal edema and facial puffiness are present Vitals BP 180/110mmhg Pulse-88 beats/min Temp-97°F RR -18 CPM Systemic examination RS :B/L inspiration crestfallen over lung fields CVS:S1 and S2 are heard, no murmurs CNS:No focal deformities Investigations Haemogram Hb: 7.5gm/dl TLC:7800/cumm PCV:23.3 RCB:2.6million /cumm PLT:1.54lakh/cumm RFT urea:46mg/dl C...
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those clinical problems with collective current best evidence based inputs 25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days. History of presenting illness: Patient was apparently asymptomatic 5 days back the she developed fever which is sudden in onset, continuous ,high grade fever, associated with chills and rigors relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains. History of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive) History of abdominal pain, burning mict...
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