46 years old female pt with viral pyrexia

C/O fever since 2 days 
Dry cough since 1 day 

HOPI:

Patient was apparently assymptomatic 2 days ago,then she developed high grade fever with chills , intermittent , relieving with Medication associated with generalized body pains,nausea
Not associated with vomiting ,loose stools 
No h/o burning micturition ,sob,wheeze 

Not a k/c/o DM,HTN,CAD,CVA

PERSONAL HISTORY:
Diet:mixed
Appetite:normal
Bowel nd bladder : regular
No addictions 

No significant family history 

O/E
Pt C/C/C
moderately built 
No pallor,Icterus,cyanosis, clubbing, lymphaedonopathy, edema

Vitals on admission:
Temp:98° F 
PR:108 BPM
BP:90/60 MMHG 
RR:18 CPM 
SPO2: 98@ ROOM AIR 

CNS:
S1S2 HEARD 

RS: 
BAE + ,NVBS

CNS:NAD 

P/A:
SOFT,NON TENDER
Bowel sounds - present 


Diagnosis: 
VIRAL PYREXIA

Comments

Post a Comment

Popular posts from this blog

GM case-1

A case of 42yr old female with multiple health events since birth May 16, 2020 Following is my analysis of the 42 year old female  patient multiple problems which she had since birth *Jaundice at birth associated with other congenital malformations  (Suggests that there may be hemolysis at birth) *Sleeplessness  (since birth which might have occurred due to   G6PD Deficiency or AMPD1 deficiency)     {These diagnoses were suspected based on other symptoms like: Anaemia, Exacerbation of symptoms after consumption of flava beans and antiviral drugs for G6PD deficiency. Muscle dysfunction for AMPD1 deficiency.} *Fluctuating Edema  (Overview of G6PD deficiency:           https://medlineplus.gov/ency/article/000528.htm) (Edema was extremely fluctuating within days and trigger points as mentioned by the patient were Emotional stress, Eating wrong food, Exercise in excess, Smoke. It relieved spontaneously. Associated with SOB and dark urine. These features are suggestive of G6PD deficiency whi
Read more

Case of 50 yra old male with complaints of SOB since 10 days

Image
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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. 50 years Years old male came to OPD with cheif complaints of shortness of breath since 10 days. Complaints of decreased urine output,nausea,B/L pedal edema and  constipation since 10 days. Patient was aparently asymptomatic 15 years back, then developed B/L pedal edema , shortness of breath and was brought to our hospital 1 session of HD done.Patient was diagnosed with CKD 15 years back and was treated conservatively(on and off). Now again 10 days back he came to OPD. Past History :
Read more