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19 year old with fever and cough

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  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  A 19 year old girl, hailing from Narketpally,  came to the OPD with  chief complaints  of fever and cough since 15 days HOPI: patient was apparently asymptomatic 7 months back she developed fever, after the fever subscied she started having pain in the small joints PIP, DIP, MIP etc. Subcided with medication and relapse after stopping the medication.patient had h/o of migratory polyarthritis, h/o of dragging type of pain in both lower limbs( ankle joint spared), h/o of decreas
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19 year old with fever and headache

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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
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