45/F with FEVER AND HYPOTENSION

Chief complaints: (7/10/22)

1)FEVER since 10 days

2) SOB,GIDDINESS since 3 days

3) VOMITINGS and LOOSE STOOLS since yesterday

HOPI:

Patient was apparently asymptotic 10days back from when she had fever which is associated with chills and rigors and with diurnal variation , increased during night and subsided by night and subsided by night , she had giddiness and SOB, (grade III) since 3 days and yesterday night went to a local doctor , he gave ORS from then she had vomitings, 1episode, food as it’s content , non projectile. She also had 4 episodes of loose stools ,since today today morning. No blood /mucus in stools . Patient also complains of cough since 3 days (dry)

PAST ILLNESS:

N/K/C/O HTN,DM,Epilepsy ,TB, CVA,CAD

PERSONAL HISTORY:

Married, Homemaker, has normal appetite, takes mixed diet and has regular bladder movements, having loose stools since mrng., she is an occasional alcoholic, stopped since 1year

GENERAL PHYSICAL EXAMINATION:

Patient came by walk to OPD

Conscious, Coherent, cooperative

Vitals :

On presentation: BP-50/40mmhg

SYSTEMIC EXAMINATION

RS: BAE+,wheeze + , Fine crepts ICA,IAA

CVS: S1s2+

P/A: soft , Non tender

CNS: NAD

Comments

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