A 61 years old female with fever ,cold and cough since 10 days

CHIEF COMPLAINTS 

A 61 year old female came to the op with the chief complaints of cold , cough and fever since 10 days

HISTORY OF PRESENTING ILLNESS:

She has cold and cough since 10 days , it was insidious in onset and gradually progressive . The cough was of productive type , white colour sputum. She has fever since 10 days ,insidious in onset and gradually progressive . Fever was of high grade type , continuous and relieved on medication . Fever was associated with chills and rigor , body pains ,neck pain and head ache . 

PAST HISTORY : 

A known case of hypertension since 5 years , she is currently on medication . 

No history of TB, epilepsy,asthma, CAD,CVD, thyroid . 

PERSONAL HISTORY :

Mixed diet , normal appetite , disturbed sleep, normal bowel and bladder movements . 

GENERAL EXAMINATION:

She was conscious, coherent , moderately built and moderately nourished . 

No pallor , icterus , cyanosis ,clubbing , lymphadenopathy, edema .

Temp : afebrile 

 Bp:120/80 mm hg 

PR : 84  RR:14 bpm 

 




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