A 38 yr old female came to OPD with fever, vomiting and not able to walk..
A 38 yr old female patient sweeper in a fertiliser company by occupation brought to casualilty with fever and vomitings and hypersalivation. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors. HOPI: She had 5 episodes of vomitings for 2 days which contained food particles, non projectile and non foul smelling. She needed support for walking. Fever since 3 days, vomitings 5 episodes(12th & 13th June 2022), unable to walk since 2 days Negative history: no history of shortness of breath, cough, loose stools Past illness- known hypertensive since 2 years (using medication) NOT a known case of DM, asthma, tuberculosis, diabetes, asthma, epilepsy, CAD Personal History: Mixed diet Bowel And Bladder-Regular Sleep Adequate No Allergies And Addictions. Family History: not significant General Examination: Patient is Conscious, Moderately Built and Nourished. Pallor Absent Icterus Absent Clubbing Absent Cyanosis Absent Lymphadenopat