52 Y OLD FEMALE WITH FEVER SINCE 6 DAYS

C/O  FEVER SINCE 6 DAYS 
PATIENT WAS APPRENTLY ASSYMPTOMATIC 6 DAYS BACK THEN SHE DEVELOPED FEVR , HIGH GRADE INTERMITTANT TYPE ASSOCIATED WITH CHILLS AND RIGORS RELIVED TEMPOARARILY ON MEDICATION NO DIURNAL VARIATION 

 SINCE 2 DAYS ASSOCIATED WITH BODY PAINS 

NOT ASSOCIATED WITH COLD COUGH VOMITING LOOSE STOOLS 

PAIN ABDOMEN HEADACH GIDDINESS 

PATIENT WAS ADMITTED IN OUTSIDE HOSPITAL AND CONSERVATIVE MANAGMENT WAS GIVEN OUTSIDE PLATLET COUNT WERE 28000

K/O CASE OF DMII 3 YR


N/K/C/O HTN CVA CAD TB ASTAMA SEIZURE

GENERAL EXAMINATION:

PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON.

NO PALLOR,ICTERUS CYANOSIS,CLUBING,LYMPHADENOPATHY,EDEMA.

VITALS:

TEMPERATURE:99 

BP:100/60 MM HG

PR:84 BPM

RR:18 CPM

SYSTEMIC EXAMINATION:

CVS:S1,S2 HEARD NO MURMURS.
CNS:NO FOCAL NEUROLOGICAL DEFICITS


TREATMENT GIVEN :

TAB GLIMI M2 PO BD TO CONTIUE

7AM -7PM

TAB DOLO 650 PO /SOS

TAB NEUROBIONE FORT PO /OD 2 PM FOR 15 DAYS

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