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A 19 year old male with fever and severe body pain

Sir this case was taken on 23rd September A 19yr old male patient came to the opd with chief complaints of fever Since 1 week. HOPI:- Patient was Apparently asymptomatic 1 week back then he developed fever with chills which is high grade ,sudden in onset & associated with body pains .Relieved on medication. 2 days back he was taken to outside hospital there his platelet count was 1,29,000 cells/cumm, yesterday they were 1,32,000cells/cumm.Today they were 98,000cells/ cumm. No h/o Loose stools, vomitings, No h/o Hematuria, dark stools. No h/o pain abdomen,giddiness. PAST HISTORY:- Not a k/c/o HTN,DM, Thyroid, Epilepsy. PERSONAL HISTORY:- diet- mixed Appetite- normal Sleep- adequate Bowel and bladder movement- normal GENERAL EXAMINATION:- Patient was conscious, coherent, cooperative,well oriented to time place and person. Moderately built & moderately nourished. No pallor,Icterus,cyanosis, lymphadenopathy, clubbing. BP -90/60mmhg PR -84 RR -14cpm Spo2 -99 Temp:-99.5 F CVS- S1 S2
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LONG CASE - GENERAL MEDICINE FINAL PRACTICAL EXAMINATION

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This is a online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patients problems through series of inputs from available global community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book also reflects my patient centered online learning portfolio and your valuable inputs in comment box is welcome. CHIEF COMPLAINTS: 38 year old female Came to OPD with an Chief complient of : Poor stream of urine since 1 month.  Dysuria (painful urination) since 18 days  Burning micturition since 13 days  Pain in lower abdomen since 13 days History of Present illness  : Patient was apparently asymptomatic 1 month back , then she developed poor stream of urine  she developed pain during micturition since 18 days.  Pain in lower abdomen Spasmodic type of pain non radiating  with no aggrevating and relieving fac
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