60 year old female patient with Viral Pyrexia.

Hi,I am Shreshta,3 rd semester student.This is an online elog book to discuss our patient health data after taking her consent.this also reflect my patient centered online learning portfolio.

Cheif complaints:

A 60 year old house wife, resident of Nakirekal, Nalgonda was admitted into the hospital on 18-06-22 with cheif complaints of fever and Vomitings since 4 days

History of present illness :

Patient was assymptomatic 7 days back, then she passed black stools. Vomitings since 4 days( 3 episodes per day) 

Fever :   From 4 days (on and off)

               High grade

               Chills and rigors

               No cough no cold

Past history: 

diabetic since 2 years

 No history of HTN/TB

Family history:

Not relevant

Personal history:

Diet              : Mixed

Sleep.          : Adequate ; decreased from 4 days 

Appetite.      : reduced 

Bowel/ bladder : burning micturition ; decreased bowels and urine output since 4 days

Vitals:

Temp: 103.8F

Pulse: 118/min

Resp : 20 cycles/min

Bp : 150/90

General examination:

Consious coherent and cooperative

Moderately built

Moderately nourished

No pallor 

No icterus 

No cyanosis

No clubbing of fingers

No pedal edema

Provisional diagnosis: 

viral pyrexia

Reports :

What causes a viral fever?

A viral fever is caused by infection with a virus.

There are many ways that you can become infected with a virus, including:

Inhalation:

 If someone with a viral infection sneezes or coughs near you, you can breathe in droplets containing the virus. Examples of viral infections from inhalation include the flu or common cold.

Ingestion:

Food and drinks can be contaminated with viruses. If you eat them, you can develop an infection. Examples of viral infections from ingestion include norovirus and enteroviruses.

Bites:

Insects and other animals can carry viruses. If they bite you, you can develop an infection. Examples of viral infections that result from bites include dengue fever and rabies.

Bodily fluids:

Exchanging bodily fluids with someone who has a viral infection can transfer the illness. Examples of this type of viral infection include hepatitis B and HIV.