51 YR OLD MALE WITH FEVER AND VOMITINGS
356190 p mallesh CASE HISTORY AND CLINICAL FINDINGS C/O FEVER SINCE 3 DAYS C/O VOMITINGS 2 DAYS BACK HOPI PT WAS APPARENTLY ASYMPTOMATIC 3 DAYS BACK THEN HE DEVELOPED HIGH GRADE FEVER,CONTINUOUS, NO DIURUINAL VARIATION ASS WITH CHILLS RIGORS.ASS HEADACHE , GENERALISED PAINS NO H/O COUGH,COLD,THROAT PAIN H/O EPISODES OF VOMITINGS,BIIOUS,NON PROJECTILE ON FIRST DAY FEVER NO H/O PAIN ABDOMEN,HEMATURIA,ABDOMINAL DISTENSION H/O SOB GRADE 2 H/O LOSS OF APPETITE PAST HISTORY: K/C/O DM SINCE 20 YRS ON GLYCOMET SR PO/OD K/C/O HYPOTHYROIDISM SINCE 15 YRS ON THYRONORM 50 MCG N/K/C/O CAD,CVA,ASTHMA,TB GENERAL EXAMINATION PT IS CCC NO SIGNS OF PALLOR,CYANOSIS,CLUBBING,LYMPHADENOPATHY PR 76 BPM BP 130/80 MMHG SPO2 98 RR 22 CPM SYSTEMIC EXAMINATION: CVS S1 S2 HEARD RS BAE+ GIT SOFT NT CNS NFND INVESTIGATION BLOOD UREA15-12-2023 06:13:PM3.3 mg/dl42-12 mg/dlSERUM CREATININE15-12-2023 06:13:PM1.4 mg/dl1.3-0.9 mg/dlSERUM ELECTROLYTES (Na, K, C l) AND SERUM IONIZED CALCIUM 15-12-2023 06:13:PM SODIUM135 mE...
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