A 65 year old female

CASE:
A 65 year old female with fever,pain abdomen and loose stools.
Chief Complaints :
A 65 yr old woman resident of nalgonda ,a house wife, came with chief complaints of
-fever, pain abdomen, vomiting & loose stools since 1 week -burning micturition since 4 days.
History of presenting illness:
The patient was apparently asymptomatic 1 week back and then developed
-Fever: high grade, intermittent, associated with chills & rigors, relieved with medication
-Lower Abdominal pain : sudden in onset, continuous dull aching/cramping, aggravated with food intake -vomiting 2-3 episodes/day: non bilious, non projectile, watery with food particles
-Loose stools multiple episodes in large volume watery, no tenesmus, no mucous or blood in stools. -History of burning micturition since 4 days : high coloured urine, no hematuria
Past history:
History of similar compliant two months back which were relieved on medication.
History of diabetes type-2 since 1 Oyears and on regular medication History of hypertension since 1 Oyears and on regular medication
No history of epilepsy/asthma/siezures.
Treatment history:
Diabetes -metformin 500mg+idaIgliptin 500mg
Hypertension - telmisartan-40mg
Personal history:
Diet: mixed
Appetite: decreased
Bowel movements :irregular
Bladder : incontinenece with burning micturition.
No known allergies
No addictions
Family history:
Not significant
General examination:
Patient is conscious, coherent and cooperative.
Well oriented to time place and person, moderately built,Well nourished
Pallor : present,lcterus - absent,Cyanosis absent,Koilonychia -absent,Clubbing absent,Lymphadenopathy - absent,Edema : facial puffiness present
Vitals:
Temperature: 98.5 0 c afebrile
BP: 120/80 mm hg
Pulse: 110/ min
Respiratory rate :26/min Sp02 :96% at room air
Systemic examination:
ABDOMEN
-Inspection:
Shape- distended ,Flanks full

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