42 year

A 28y old male came to the opd with chief complaints of fever since 10 to 25  days and SOB since 5 to 6 days. Patient was apparently asymptomatic 15 days back then developed fever which was incidious in onset and non progressive. It was associated with chills and dry cough. Not associated with cold. C/O SOB since 5 to 6 days that progressed from grade 2 to grade 3. Not associated with pedel edema and loose stools. No h/o bleeding manifestations, bleeding gums, malena, hemoptysis, hemetemesis. PAST HISTORY: No h/o similar complaints of in the past. No h/o DM, HTN, CAD, Asthma, TB. PERSONAL HISTORY : Patient has a mixed diet with decreased appetite and adequate sleep. Patient has constipation. Normal bladder filling and micturition. No addictions. No significant family history. GENERAL EXAMNATION: Patients is c/c/c. No pallor, icterus, cyanosis, clubbing, Vital2s lymphadenopathy, pedel edema. VITALS: temp: 101 F PR: 98 bump nd  RR: 18 cpm. BP: 90/70 mmhg. SPO2: 96% at RA. RS: BAE +, NVBS

​ Unit 6 admission  Aug 13 2022 A 33 yr old female,works as a sister(labour room) in our hospital, came to casualty with  COMPLAINTS OF  1.Generalised body pains since 3 days 2. Fever since 3 days HISTORY OF PRESENT ILLNESS  1)BODY PAINS:  started at 6 pm after going home which was sudden in onset, started initially in loin region (bilateral) followed by head ache diffuse and later generalised body pains which was dragging type and aggravated by walking  2) fever  Initiated after half an hr of bodypains, sudden In onset and continuos, relieved by taking medications and the fever developed again after 2 hours of taking medication which was associated with rigors and sweating. Sweating present after taking medication PAST HISTORY  N/K/C/O DM,HTN,ASTHMA,EPILEPSY, CVA,CAD - Hysterotomy done ( APRIL 20 OF 2021) - H/O Right side single renal calculi of 4mm present, consulted urologist in our hospital & took medications for 2 wks & drank adequate amount of water, & then the stone