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 ve