47 year old female with fever and pain abdomen
A 47 year old female,resident of Nalgonda came to our medicine OPD with chief complaints of Fever since 3 days which is of high grade and associated with chills Pain abdomen since yesterday morning in the epigastrium Vomitings since yesterday 5 episodes,non bilious ,non projectile -No H/O cold,cough,headache, SOB, palpitations -No H/O rash, ,loose stools,melena, constipation - No H/O burning micturition, hematuria PAST HISTORY-K/C/O Hypertension since 5 years on regular medication Tab.Olmesartan 40mg Not a K/C/O DM,TB,Epilepsy,Asthma,CVD,CAD. PERSONAL HISTORY- Mixed diet Normal appetite Adequate sleep Regular bladder and bowel movements No addictions FAMILY HISTORY- No similar complains in the family. No history of Diabetes, Hypertension,TB, Asthma, CAD,CVD. GENERAL EXAMINATION - Patient was conscious, coherent, co- operative. Well oriented to time, place and person. Moderately built and moderately nourished . No pallor No icterus No clubbing No cyanosis No lymphadenopathy No
