43 YR FEMALE WITH CONSTANT ILL HEALTH THOUGHTS
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Here is a case that I have seen:
GM unit 3 admission on 17/2/21
Interns:
Dr Harsha
Dr Sreeja
Dr Archana
Dr Kalyan
Dr Sahithi
Dr Jeehariki
Dr Raveen PGY1
Dr Aashitha PGY2
Dr Aravind PGY3
Dr Vamshi PGY3
Dr Hareen SR
Dr Praveen Naik - Ass. prof
Dr. Rakesh Biswas - HOD
43/F
C/o : fever since 1 month on and off
Burning micturition since 1 month
Generalised weakness +
Myalgia +
HOPI:
Patient was apparently asymptomatic 1 month back.
He developed fever which was insidious in onset, intermittent type, diurnal variation+
Fever was on and off, was on medication(?).
Burning micturition + since 1 month
generalised weakness +
Myalgia +
No H/O nausea/ vomiting/loose stools
Past history: k/c/o asthma, on rotahaler (beclamethasone and levosalbutamol)
Not a k/c/o T2DM, HTN, TB, Epilepsy
Personal history:
Diet-mixed
Appetite - decreased
Sleep- normal
Constipated , burning micturition +
Drinks toddy occasionally
No known drug / allergic history
No significant family history
On examination:
Patient was conscious/coherent /co-operative
Thin built and moderately nourished
No pallor/icterus/clubbing/cyanosis/generalised lymphadenopathy/pedal Edema
BP: 110/70mmhg
PR: 98bpm
RR: 18cpm
SPO2: 98% at RA
GRBS-112mg/gl
Afebrile to touch
Systemic examination:
CVS: s1,s2 heard
RS: BAE present,
P/A: soft, non - tender
CNS: NAD
Investigations:
Diagnosis :
?Viral Pyrexia
Treatment:
IVF 1unit NS and 1unit RL @75ml/he
INJ.PAN 40mg IV OD BBF
INJ.PCM 650mg IV SOS
TAB.DOLO 650mg PO SOS
SYP.CITRALKA 10ml in oneglass of water PO BD
20/02/21:
21/2/21:
22/02/21
Psychiatry referral was taken I/V/O constant I'll thoughts :
Diagnosed as Adjustment disorder due to personal issues.
Discussion:
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