A 21 YR OLD MALE WITH SOB SINCE 15 DAYS
Case History and Clinical Findings C/O FEVER,COUGH,SOB SINCE 15 DAYS C/O ABDOMINAL PAIN SINCE 3 DAYS HISTORY OF PRESENTING ILLNESS : PATIENT WAS APPARENTLY ALRIGHT 15 DAYS BACK,THEN HE HAD FEVER WHICH IS INSIDIOUS IN ONSET,GRADUALLY PROGRESSIVE ,HIGH GRADE, ASSOCIATED WITH CHILLS AND RIGORS.EVENING RISE OF TEMPERATURE PRESENT. C/O COUGH WITH SPUTUM SINCE 15 DAYS,GREENISH COLOURED SPUTUM,COPIOUS AMOUNT. SHORTNESS OF BREATH SINCE 15 DAYS ,GRADE 2 ,RELIEVED BY TAKING REST . NO ORTHOPNEA,NO PND. DIFFUSE ABDOMINAL PAIN WHICH IS SQUEEZING TYPE OF PAIN . NO H/O VOMITING,LOOSE STOOLS. BURNING MICTURITION + LOSS OF APPETITE + H/O WEIGHT LOSS PRESENT 10-15 KGS IN 1 MONTH. PAST HISTORY : N/K/C/O DM,HTN,EPILEPSY,THYROID DISORDERS,TB,ASTHMA HISTORY OF TONSILLECTOMY 10 YEARS AGO PERSONAL HISTORY : DIET : MIXED APPETITE : DECREASED SINCE 15 DAYS SLEEP : NORMAL BOWEL AND BLADDER : REGULAR ( BURNING MICTURITION +) NO ALLERGIES FAMILY HISTORY :INSIGNIFICANT GENERAL EXAMINATION : PATIENT IS CONSCIOUS , C...
Comments
Post a Comment