A 36 years female presents with headache ,fever with chills

 CHEIF COMPLAINTS:

•SOB Since 5 days (12/8/22)   
•Fever with chills , headache , general body pains since 8 days (8/8/22) 

HISTORY OF PRESENT ILLNESS : 
Patient was apparently asymptomatic then she developed fever on 9/8/22 for which she went to a local hospital diagnosed as TYPHOID and UTI 

HISTORY OF PAST ILLNESS: 
H/O MASTECTOMY  left ( 1 year back ) 
H/O RENAL CALCULI (1 year back ) 
N/k/c/o HTN DM THYROID CAD TB EPILEPSY

PERSONAL  HISTORY: 
 Occupation : house wife 
Appetite : normal 
Diet : mixed 
Bowel : regular 
Micturation : Normal 
No allergies 
Addictions : Alcohol ( teetotaler ) 

FAMILY HISTORY: 
NIL SIGNIFICANT 

TREATMENT HISTORY : 
Blood transfusions 
Surgery - mastectomy 

GENERAL EXAMINATION: 
PALLOR : PRESENT 
Clubbing , cyanosis , icterus, edema, lymphadenopathy: ABSENT 

VITALS : 
TEMP : 102 F 
PULSE : 116 
BP : 100/70 
SPO2 : 98 
GRBS : 110
RESPIRATORY RATE : 26 CPM 

SYSTEMIC EXAMINATION: 
CVS : No thrills , no murmurs, S1 S2 present 

RESPIRATORY: No dyspnea, no wheezing , breath sounds - vesicular, trachea - central position 

BAE +

SOB (Grade 3 ) 

Pain in 4th intercostal space 

ABDONEN : scaphoid shape , bowel sounds present , free fluid absent , liver and spleen non palpable 

CNS : pt is conscious, coherent , speech normal , all reflexes present 
 
INVESTIGATIONS : 






PAST INVESTIGATION REPORTS:

HISTOPATHOLOGY REPORT 











PROVISIONAL DIAGNOSIS: 
TYPHOID 

TREATMENT: 


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