36 years old female with fever

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CHIEF COMPLAINTS:
A 36 years old female worker by occupation came to causality with cheif complaints of FEVER since 2days along with CHILLS, HEADACHE ,NECKPAIN and 3 episodes of vomiting 
HISTORY OF PRESENTING ILLNESS:Pt was apparently asymptomatic 2 day back she developed fever which was associated with chills , headache ,and neck pain No history of burning micturation Three episodes of vomiting 
PAST HISTORY: No H/o DM , HTN ,ASTHMA, CAD, EPILEPSY,TB
PERSONAL HISTORY:Diet:MixedAppetite:NormalSleep:Adequate Bowel and bladder :Regular Addictions : No addictions 
FAMILY HISTORY:
No significant family history 
GENERAL EXAMINATION:Pt was C/C/C well oriented with time place and person and moderately built.Pallor:NoIcterus: NoCyanosis: NoClubbing :Absent Lymphadenopathy: Absenthttps://drive.google.com/uc?export=view&id=1ORgUQhBQI0h772HAcpSTw4ckjvuw0diw

https://drive.google.com/uc?export=view&id=1vgAkl1aoPyP_JD13Z1dnILQvtL9Wrunb
https://drive.google.com/uc?export=view&id=1QlCL8ildAqU_aml8E_Yo-NtPPaDF8xOD
https://drive.google.com/uc?export=view&id=1LDZ-dpyqcHaruS6kvQozki-BsnaVspvI

VITALS:Heart rate :82bpmBp:130/80mmHgRR:20 cycles per minTemp: 101.3F
SYSTEMIC EXAMINATION:Pt is conscious 
CNS:Speech normalNo signs of meningeal irritatingMotor and sensory system- NormalReflexes - presentCranial nerves - intactCVS: S1 and S2 heardRESP. system:NVBS+, trachea-central ABDOMEN: inspection   shape :scaphoid with no distention   equal symmetrical movements in all quadrants with respiration   No visible pulsations and peristalsis.PALPATION: no hepatomegaly and no splenomegaly ASCULTATION: Bowel sounds heard
INVESTIGATONS: https://drive.google.com/uc?export=view&id=1QNU6mlm45e537liCjEtrtAXcggWnrtwL

https://drive.google.com/uc?export=view&id=1rNlP-fBzaEkMN4tXjmQWnM3sfLnjosIL

PROVISIONAL DIAGNOSIS:FEVERTREATMENT:https://drive.google.com/uc?export=view&id=1xfgjdY05HimxkZ_y5griDwLhEVh-w_9i




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