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This is a case of 22 yr old female patient came opd with chief complaint of rashes over the body with itching sensation since 4 days.
Fever since 8 days associated with chills on medication & body pains.
The patient was apparently asymptomatic 1month back when she developed rashes over the legs ,hands & abdomen after contact with her family's lemon field.
For this she visited to local doctor and took medications the rashes subsided and blackish discoloration remained over the skin.
10 days ago then she developed fever on& off. High grade associated with chills & generalised body pains, fever .
Decreased on medication so had vomitings 10 days ago 4 to 5 episodes per day for 2 dayswent to local RPM 8 days for fever and jaundice was diagnosed as typhoid for which she got treated symptomatically patient says that she have taken herbal medication 5 daysback
H/o generalised edema all over the body since 3 days.
History of Past illness:
No diabetes
No asthma
No epilepsy
No CAD
Treatment History:
Not allergic to known drugs.
Personal History:
Appetite : normal
Diet : mixed
Bowel & bladder movements : regular
Addictions: No
Family History:
No similar complaints in the family.
General & Physical Examination:
No pallor
No cyanosis
No icterus
No malnutrition
Vitals:
Temperature :High
Pulse rate:120/min
Respiration rate:20/min
BP 90/70 mm/Hg
Spo2 99%
Systemic examination:
CVS:
No thrills
S1 S2 sounds are heard
No cardiac murmurs
Respiratory System:
Presence ofDyspnoea
No wheeze
Position of trachea: central
Breathe sounds : vesicular
Abdomen
Shape of abdomen: scaphoid
No Tenderness
Hernial orifice: Normal
No free fluid
No bruits
CNS:
Conscious
Speech :Normal
Investigations:
Provisional diagnosis:Hepatitis?
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