patient with viral Pyrexia
This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.
A 40 yr old female patient came to the OPD with the cheif complaint of fever cough,headache,body pains since 10 days
History of present illness:
Patient was apparently asymptomatic 10 days ago and then developed fever which is high grade associated with chills and rigor and
Dry cough ,neckpain, headache which is diffuse in nature
Decreased apetite,Burning micturition since 4 days
History of past illness:
No Similar complaints in the past
N/k/c/o HTN,DM,Asthma
Personal history:
Diet:mixed
Appetite : Decreased
Bowel /bladder movements: Regular
Addictions:Nil
Family history:
No history of similar complaints in the family.
General examination:
Patient is C/C/C.
Pallor : yes
Icterus : no
Cyanosis: no
Clubbing of fingers/toes: no
Lymphadenopathy: no
Oedema of feet: no
VITALS:
Temp:100.9°F
Pulse:76 / min
Respiration rate:18/min
Bp:110/70 mm/Hg
Spo2:98%
SYSTEMIC EXAMINATION:
CVS
-Thrills : No
Cardiac sounds:S1 S2 heard and no murmurs
Respiratory system: Bilateral air entry
CNS:No abnormality detected
Per abdomen: soft,Non tender
Provisional Diagnosis:
Viral pyrexia
Final Diagnosis:
Viral pyrexia
Comments
Post a Comment