A 35 year old female with fever

September 06 ,2022 

A 35 year old female farmer by occupation resident of miryalaguda came to hospital on 2/9/22 with 

C/O  fever  , burning micturition , lower abdominal pain , lower back pain since 6 days and dry cough and sore throat since 5 days.

HISTORY OF PRESENT ILLNESS 

   The patient was apparently assympomatic  6 months back.She developed joint bilateral pains after which she was treated at private hospital at miryalaguda and now she came with complaints of fever which was peak in the evening with chills and rigor and burning micturition associated with lower abdominal pain and lower back pain . She had dry cough and sore throat . 

HISTORY OF PAST ILLNESS 

She had undergone 3 caesareans

No history diabetes mellitus                                      No hypertension  

No asthma 

No CAD

 No epilepsy 

No bleeding manifestations 

No malignancy 

No rash 

TREATMENT HISTORY 

No DM ,HTN,CAD,Asthma,TB, antibiotics, surgeries,blood transfusions, chemoradiations.

PERSONAL HISTORY

Married 

Farmer by occupation

Normal appetite 

Mixed diet 

Burning micturition

No known allergies

No alcohol , tobacco, drug ,beetel leaf addiction

FAMILY HISTORY

No DM ,HTN,CAD,Stroke,cancer , asthma 

PHYSICAL EXAMINATION

GENERAL EXAMINATION

Pallor -Yes 



Icterus- no 

No cyanosis , clubbing of fingers ,lymphadenopathy, oedema, malnutrition, dehydration

Vitals--- 

Temperature - 97.6F 

Pulse- 78bpm

Respiratory rate- 20 beats/min 

BP- 100/50 mm Hg 

SpO2- 96%

GRBS-102mg% 

SYSTEMIC EXAMINATION

CVS 

No thrills 

Cardiac sounds S1 S2+

 Cardiac murmurs - no 

No dyspnea

No wheezing 

Position of trachea-central 

Breath sounds -vesicular 

ABDOMEN 

Shape of abdomen- scaphoid 

Tenderness - yes 

Palpable mass - no 

Hernial orifice - normal 

Free fluid -no 

Liver and spleen not palpable 

Bowel sounds - no 

CNS 

Conscious

Speech normal 

INVESTIGATIONS 



TREATMENT

Dolo  tablet

Citrizen tablet 

Neomol injection

Inj- optineuron 

Citralka syrup 

Pan 40 tablet

PROVISIONAL DIAGNOSIS 

Viral pyrexia





































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