URINARY TRACT INFECTION

CHIEF COMPLAINTS: A 39 YR OLD MALE PATIENT CAME TO THE OPD WITH COMPLAINTS OF FEVER
SORE THROAT  
DECREASED APPETITE 
BREATHELESSNESS SINCE 4 DAYS

HISTORY OF PRESENT ILLNESS: 
PATIENT WAS APPARENTLY ASYMPTOMATIC 4 DAYS BACK HE DEVELOPED FEVER WHICH WAS INSIDIOUS IN ONSET INTERMITTENT TYPE WITH CHILLS


HISTORY OF PAST ILLNESS: 

PATIENT HAD A LIVER RUPTURE 5 YRS BACK AND 
PATIENT UNDERWENT APPENDICECTOMY

MEDICAL HISTORY:
PATIENT HAS DIABETES MELLITUS 
HYPERTENSION  
PHYSICAL EXAMINATION:
NO PALLOR ICTERUS CYANOSIS LYMPHADENOPATHY CLUBBING OEDEMA 
MILD DEHYDRATION 

VITALS:
TEMPERATURE: 98.4°F
PULSE : 88 /MIN
RESPIRATORY RATE: 16 /MIN
BP: 1O0/70

SYSTEMIC EXAMINATION:
CVS 
NO THRILLS, MURMURS 

RESPIRATORY SYSTEM 
NO DYSPNOEA WHEEZE  
POSITION OF TRACHEA : CENTRAL 
BREATH SOUNDS : VESICULAR

INVESTIGATIONS :
PROVISIONAL DIAGNOSIS: 

URINARY TRACT INFECTION 

TREATMENT PLAN 

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