19 year old with fever and headache
19 year old male came to OPD with chief complaintsvof fever and headache and generalised weakness since yesterday. HOPI : Patient was apparently asymptomatic till yesterday then he had fever with high grade sudden in onset intermittent associated with chills. Also complains of headache in the frontal region since yesterday and generalised weakness. No H/o nausea, vomithing,cough and soreyhroat. No H/o burning micturition,hematuria,Malena,pain abdomen. No H/o chest pain , palpitations and syncope attack. No history of photophobia, photophobia, watering of eyes Past History: No H/o DM ,HTN ,Thyroid ,Asthma ,CAD, Epilepsy. Treatment History: He is not on any treatment. Personal History: Diet ‐ mixed. Appetite ‐ Normal Sleep ‐ adequate. Bowel and Bladder movements ‐ regular. Micturition -normal. Addictions: occasionally consumes toddy. Family History: Not significant. General Examination: the patient is conscious, coherent, cooperative, moderately built and nourished. He is moderately b