50 year old male came to casualty with c/o fever since 10 days

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A 50 year old male came to casualty with c/o fever since 10 days

HOPI - patient was apparently asymptomatic 10 days back, then he developed fever, insidious in onset, associated with chills and rigors , and it was relieved on medication

H/o cough with sputum, whitish in colour, non blood stained.

H/o SOB ( grade 1-2 )

No H/o orthopnea, PND, chest pain.

No H/o burning micturition , decreased urine output, pedal oedema.

No H/o bleeding manifestations.

PAST HISTORY- Not a k/c/o HTN, DM, CVA, CAD, TB, Asthma, or thyroid disorders. 

PERSONAL HISTORY- 

Diet - mixed

App- normal

Sleep- adequate 

B and B - regular

Addictions- pan daily 

Allergic history:-

No history of any kind of allergies to food/drugs

Family history:- 

No significant family history 

GENERAL EXAMINATION:- 

THE PATIENT IS CONSCIOUS COHERENT AND COOPERATIVE , WELL ORIENTED TO TIME, PLACE AND PERSON. 

NO PALLOR ; ICTERUS; CLUBBING; CYANOSIS; ODEMA ; LYMPHADENOPATHY

TEMPERATURE:- 98.2F

PR:92bpm

BP:90/60 mmHg

RR:17cpm

SYSTEMATIC EXAMINATIONS:-

CVS:S1 S2+,NO MURMURS

CNS: NAD

RS:BAE+ ; NVBS 

P/A:SOFT ; NON TENDER ; NO ORGANOMEGALY 

PROVISIONAL DIAGNOSIS:- fever under evaluation.

Investigations-