A 40 yr old female patient with a fever

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. 

CHEIF COMPLAINT :40yr old female patient came to causality with complaint of fever since 4 days   nausea since 3days, generalized weakness nd loose stools since a day

HISTORY OF PRESENT ILLNESS :Patient was apparently asymptomatic 5days back  and then she noticed fever, generalized weakness associated with cough went to  local hospital for hypotension started on fluids and discharged.she had vomitings w on food intake, history of loose stool   episodes watery, foul smelling with 

HISTORY OF PAST ILLNESS:

N/k/o HTN,TB,epilepsy,asthma,thyroid.

H/o of dust allergy 

PERSONAL HISTORY:

Appetite: decreased

Diet:mixed

Bowel and bladder:regular 

Sleep: adequate 

Micturation : burning

FAMILY HISTORY:

No relevant family history

GENERAL EXAMINATION:

Patient is conscious , coherent,coperative

Well oriented to time, place and person. 

No pallor

No Icterus 

No cyanosis 

No clubbing 

No lymphadenopathy

Oedema of feet 

VITALS:

Temperature-101°f

Pulse rate- 112/min

Respiratory rate- 16/min

BP- 100/70mmHg

SYSTEMIC  EXAMINATION 

CVS :

Thrills: No

Cardiac sounds: S1 , S2

Cardiac murmurs: no

RS :

Dyspnoea:No

Wheeze: No

Position of trachea: Central 

Breath sounds: Vesicular 

ABDOMEN

Shape  scaphoid

CNS- consious

Speech - normal

INVESTIGATIONS

DIAGNOSIS : Viral pyrexia
TREATMENT:



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