Case HISTORY-5

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A 35 year old female patient came to casualty with chief complaint of neck pain and headache since 4 days.

Patient was apparently asymptomatic 1 month back. Then she attended a marriage and when she returned home she developed chills and fever. So she visited a doctor in kattangur and was adviced medication. Her fever did not get subsided, so she visited another doctor in nakrekal and she was diagnosed to have mild typhoid and she was adviced medication. After 2 days she developed neck pain and headache.

PERSONAL HISTORY -

Diet- Mixed 

Appetite- Normal 

Sleep- adequate 

Bladder habits - Regular

Bowel habits- Irregular bowel movements and burning sensation while passing stools 

Addictions- History of intake of toddy occasionally. 

On examination:

Vitals:

PR: 98 bpm

BP: 120/80 mm of hg

RR: 22/min

Spo2: 99% at RA

GRBS: 12 mg%

INVESTIGATIONS:

ECG: