40F with fever and body pains along with cough
40F with fever along with bodypains and cough
27 September 2023
Case of 40 yr old female with fever along with body pains and pain in the joints and cough
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I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.
CHIEF COMPLAINTS
A 40 yr old came to the opd with chief complaints of fever along with body pain and pain in the joints(dragging type) and cough since 2 days
HISTORY OF PRESENTING ILLNESS
The patient was apparently asymptomatic 2 days ago and then she developed fever along with body pains and pain in the joints and cough.
Which was relieved on taking medication
No C/O chest pain, orthopnea, PMD,decreased urine output, pedal edema or facial puffiness.
PAST HISTORY
Not a known case of hypertension, DM, CVA,CAD,TB, asthma.PAST HISTORY
Had undergone hysterectomy 3 years ago
FAMILY HISTORY
No significant family history
PERSONAL HISTORY
Appetite-->decreased
Diet-->mixed
Sleep-->adequate
Bowel movements---> regular
GENERAL EXAMINATION
No signs of pallor, icterus, cyanosis, clubbing, lymphadenopathy and pedal edema.
VITALS
PR: 75bpm
BP: 120/80mm hg
RR: 17 bpm
TEMPERATURE: 98.6F
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