16year old male came with fever
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CHIEF COMPLAINTS
16 year old male patient came with chief complaints of
•fever since 7 days
HOPI
Pt was apparently asymptomatic 7 days then he had fever which is high grade associated with chills and rigors more during night times. relieved by medications if taken every 4 hrly.
4 episodes of vomitings 4 days back with food as content non projectile non blood stained
There are 4 episodes of loose stools 3 days back after consuming papaya leaf juice and relieved by medication
NO H/ O cold, cough, headache, body weakness, burning micturition, hematuria, epigastric pain
PAST HISTORY
N/K/C/O ASTHMA , EPILEPSY
FAMILY HISTORY
His grand mother has dm and htn since 17 years
DAILY ROUTINE
Patient is studying inter 1st year waked up.at 6: 30 does his daily routines and takes breakfast at 7:30 goes to clg at 9: 00 pm and takes lunch at 1:00 college ends at 4:00 he goes to home by 4: 30 goes to stadium and plays there and does his home works and takes dinner at 7: 30 and uses mobile for 10 to 15 mins before going to bed . and sleep by 9: 30 pm
PERSONAL HISTORY
Diet - Mixed
Appetite- normal
Bowel and bladder movements- Regular
Sleep-adequate
Addictions- no
GENERAL EXAMINATION
Patient is conscious coherent cooperative, well oriented to time place person
moderatly built and moderately nourished
Pallor- absent
icterus- absent
cyanosis- absent
clubbing- absent
Lymphadenopathy - absent
Edema- absent
VITALS
Pt is c/c/c
Temp-
BP- 120/80 mm hg
PR- 55 bpm
RR- 18 cpm
SYSTEMIC EXAMINATION
CVS- S1, S2 heard
RS- BAE+
CNS- intact
PA- Soft , non tender
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