Paper -2 general medicine .prefinal examination







 

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22 YEARS OLD MALE WITH DENGUE FEVER

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​ A 22 year old male came with complaints of  Fever with chills,Headache ,Lower back pain,Generalised body pains,Cough with expectoration since 5 days. HOPI: Patient was apparently asymptomatic 5days back and then developed fever associated with chills (high grade) intermittent with evening rise in temperature associated with headache(frontal) and cough which is productive (white colour) and generalised body pains. PAST HISTORY: Not a K/C/O DM, HTN, TB,EPILEPSY, ASTHMA PERSONAL HISTORY: He is Single and Car driver by occupation. He consumes  Mixed diet  sleep is adequate  Appetite normal bowel and bladder movements are regular He used to  Consume Alcohol occasionally. FAMILY HISTORY: no similar complaints in the family. GENERAL EXAMINATION: Patient is conscious , coherent and cooperative and well oriented to time place  and person,  Moderately built and moderately nourished. VITALS: BP: 120/80mmhg PR: 84 RR: 18 Temp: 99.5f SYSTEMIC EXAMINATION: RS...
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