A 50YR OLD MALE WITH FEVER

March 03, 2021

DR.CHETANA(INTERN)

DR.NAVYA(INTERN)

DR.ABDUL RAHEEM (INTERN)

DR.ASHFAQ(INTERN)

DR.SRAVYA(INTERN)

DR.GNANADA(INTERN)

DR.CHARAN(PG1)

DR.VAMSI(PG1)

DR.SUSMITHA(PG2)

DR.ADITHYA (PG3)

DR.PRANEETH(PG3)

DR.PRAVEEN NAIK (ASS.PROF)

DR.RAKESH BISWAS(HOD)

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Here is a case i have seen:

A 50YR old male who is a shepherd by occupation came to the opd with c/o low grade fever associated with chills and rigor and generalised weakness since 7days .

Nausea since 7days but no vomitings and loose stools. Yellowish discloration of eyes associated with yellowish discolouration of urine since 7days.

Grade 4 shortness of breath since 5days

Facial puffiness since 5days

Pedal edema up to ankle since 5days

No h/o cough,cold,decreased urine output,burning micturation,palpitation,

H/o of walking in muddy water 2mnths ago

He is a known alcoholic since 5-6yrs (last binge 1month ago)

N/k/c/o HTN,DM,Asthma,CAD,TB,epilepsy

No relevant family history

GENERAL EXAM:

BMI:

Icterus present.

No signs of pallor,cyanosis,clubbing,lymphadenopathy,dehydration

Temp : 99.6F BP:110/80mm hg PR:80bpm

Spo2:98%@RA. GRBS:98mg/dl

CVS EXAM: s1 s2 heard

RESP EXAM: centrally positioned trachea,BAE +,NVBS Heard

PER ABD: decreased upper abdomen expansion ,tenderness in rt hypochondrium,dilated superficial veins over rt lateral aspect of abd,no palpable mass,normal hernial orificesno free fluid,no organomegaly,Bowel sounds heard

CNS EXAM: NAD