a 50 years old female patient with viral pyrexia

Iam himabindhu 3rd semester medical student.this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio.
   Chief complaint: A 50 years old female patient came with fever and pedal edema.
History of present illness: the patient was apparently asymptomatic 1 week back. She had fever since 1 week and said that there was increased temperature at night and diurnal variation in temperature. She had pedal edema since 1 week.she was suffering with constipation since 2 years, passing stools once for 3 days. she had vomiting and loose stools with mucous 6 times ,with no blood 1 week back. She is also complaining of burning micturition since the time of fever. 
History of past illness: no history of hypertension,diabetes mellitus,epilepsy,CAD,tuberculosis, thyroid,asthma.
Under went hysterectomy.
Personal history: 
Appetite: normal
Bowels: irregular
Micturition: burning urination 
Habits: no habits
Family history: no family history
Physical examination:
Conscious and coherent 
Cooperative 
No malnutrition 
No pallor 
No icterus
No cyanosis
No clubbing of fingers 
Pedal edema is present
No lymphadenopathy 
Systemic examination:
Pulse rate: 96 / min
Respiration: 16
BP: 120/70
Temperature: increased temperature 
Spo2: 98%
Investigations: 
provisional diagnosis: viral pyrexia with thrombocytopenia , acute kidney infection.


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