55 F fever with since 10 days

A 55 yr F came to OPD with

C/C: fever since 10 days

HOPI:

the patient was apparently asymptomatic 10 days ago then she developed fever which was incidious in onset and gradually progressive, there are no aggrevating factors, relieved on taking medication 

Past history:

H/o taking medication - dolo 650( thrice a day)

- taxim( twice a day)

N/k/c/o DM, hypertension, asthama, TB, thyroid, epilepsy, CAD and CVA

Family history: insignificant

Personal history: 

Sleep- adequate

Appetite -reduced

Diet- mixed

Bowel and bladder - normal and regular

Addictions- No addictions

General examination: 

C/c/c

Moderately built and nourished

No signs of pallor,iceterus, cyanosis, clubbing, lymphadenopathy and pedal edema

no pallor 

no icterus 

lateral view of abdomen in comparison with bicep 

Vitals: 

PR - 80 cpm regular in rhythm and normal in volume

Bp- 110/70

Rr- 14 bpm

Temperature - febrile

Systemic examination:

Cvs- s1 S2 heard no murmurs

Rs- normal bronchial and vesicular sounds heard

Hemogram:

15/09/23

19/09/23

Rapid dengue test:

Strip test:

Treatment:

Temperature monitoring - 4th hourly

Healthy diet