Fever with unknown origin
A 20 yr old female degree student by occupation complaining of fever since 10 days
C/O cough dry cough 4-5 days
Pt stays in ladies hostel in Hyderabad ghatkesar wakes up at 6:00 Am in the morning she gets up and fresh up have her break fast at 7 :00 am and lunch at 1:30 pm and 8:00 pm dinner back.
HOPI : Patient was apparently asymptomatic 10 days back then she developed fever gradual in onset . there is evening rise of temperature associated with chills and rigors
NOH/O burning micturition
C/o cough ,dry cough which is aggravated in the evening
No H/O burning micturition
No H/O loose motions
Not a k/c/o DM, HTN, thyroid, asthma, TB, CAD and, CVA.
No h/o any bleeding manifestations (malena, hemoptysis, hematemesis).
No h/o nausea and vomitings.
No h/o loose stools, burning micturition, cough.
No h/o SOB, pedal edema, bowel disturbances.
Personal history :
Diet -mixed
sleep - adequate
appetite - normal
bowel and micturition - normal.
General examination : Patient is c/c/c moderately built and nourished.
No pallor, icterus, cysnosis, clubbing, lymphadenopathy or edema
Vitals:
Temp - 101F
PR-78 bpm
BP - 110/70 mmHg
Spo2 - 99%.
RR - 18 CPM
Systemic Examination :
CVS - S1 S2 +
RS - BAE +, CLEAR,, NVBS.
P/A - soft, non tender, no organomegaly.
CNS - NAD
Diagnosis - fever under evaluation ?
Investigations :
30-05-22
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