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 :
https://drive.google.com/uc?export=view&id=1JIP0HvQI3F8Nj3hvYZxo5ejIfmeV3xGL

https://drive.google.com/uc?export=view&id=1nsO8B9ilz62cyMXJiuPK_6aW-lqdE6m4

https://drive.google.com/uc?export=view&id=1l7F_UaZqHsFUoT-iFewesl8XJFSwMZ2s

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.

Comments

Post a Comment

Popular posts from this blog

E-log 2. A 26 year old patient with Pyelonephritis

Image
 June-08-2022   Hi , I am Shreshta Reddy I, 3rd semester student.  This is an online elog book to discuss our patients health data after taking her consent.  This also reflects my patient centered online learning portfolio. A 26 year old housewife,resident of Nalgonda was admitted into the hospital on Thursday ( Dt.02-06-22) with cheif complaints of back pain since 15 days and fever since 5 days. HISTORY OF PRESENT ILLNESSES:  Patient was asymptomatic 6 days ago and then she suffered from fever. She consulted an rmp, was given some injections but the fever still persisted. When visited a local hospital she was said her wbc count is increased and was asked to consult a better doctor. She passed red urine 6 days ago Fever - since 5 days before admission  Chills, rigors No cold , no cough Swollen face from 2 days No SOB Vomitings : 4 days ago - 4 times (food)  PAST HISTORY: Patient underwent a heart surgery at the age of 10. She delivered an underweight baby (2kg 300g) 7 years ago ( caesa
Read more

45 year old female with bilateral pedal edema

Image
Hi, I’m Shreshta, 3rd sem medical student. This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking her consent. A 45 year old female daily wage (cotton picker) worker from Suryapeta was admitted into the hospital on 30-06-22(Thursday). Cheif Complaints: Patient was asymptomatic 20 days ago, then she developed swelling in  both her legs, for which she consulted a local RMP and was prescribed few tablets. The swelling decreased but after 10 days, the swelling increased again. She was feeling pain sensation when touched and after walking for long distances. She has pain in the right hypochondrium while sitting and neck region while doing movements since 10 days History of present illness: Bilateral pedal edema(pitting type) since 20 days No history of fever No history of Vomitings Past history: Nil Family history:  Not relevant Personal history: Diet : mixed Appetite: reduced  Sleep: adequate  Bladder/ bowel : regul
Read more