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 

Popular posts from this blog

PERNICIOUS ANAEMIA AND FEVER

Image
This is online E- blog ,to discuss out patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E- blog also reflects my patient's centred online learning portfolio. I have been given This case to solve in ab attempt to understand the topic of "Patient Clinical Data Analysis " to develop my competency in reading and comprehending clinical data including history clinical findings,investigations and come up with a diagnosis and treatment plan. CHIEF COMPLAINTS: Patient complains of pain in the abdomen after having food since 3 days HISTORY OF PRESENT ILLNESS: A patient came to OPD with the complaint of pain abdomen at left hypochondral region  6 hours after having  food,relieved after taking medication for pain. Incide...
Read more

CHRONIC KIDNEY DISEASE

Image
A 50 year old female patient with loin pain and pedal edema January 19, 2023 This is an online e-log book to discuss our patients de-identified health data shared after taking his/her/guardian's 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 blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CHEIF COMPLAINT: A 50 year old female patient who is resident of athmakur mandal suryapet district and home maker came to the casu...
Read more