54 Y/M with vomitings, SOB, fever
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Patient came to causality with complaints of
Fever since 5 days
SOB since 5 days
Vomiting for 3 days
The patient was apparently asymptomatic 5 days back then he developed fever, high grade, not relieved with medication , associated with chills and rigors.
SOB since 5 days, grade III , no orthopnea , pnd.
Also presents with vomitings since 3 days, non bilious, non blood stained , watery, 2-3 episodes.
Ulcer over left foot,since 4 months, associated with edema of foot,
H/o abscess drainage???
New bleb notes since 2 days.
K/C/O DM II since 14 years, on Metformin 500 mg and Glimiperide 1 mg BD
K/C/O Hypertension since 20 yeats , on Amlodipine 5 mg.
Patient is a vegetarian since childhood.
No addictions
No allergies
Sleep adequate
Regular Bowel and bladder
Decreased appetite
Family history-
Both of the parents mother and father had diabetes.
Father was on medication.
No Pallor, icterus, cyanosis, clubbing, lymphadenopathy.
Edema + left foot
Upto ankle
Vitals
Afebrile
BP - 80/60 mm Hg
PR- 104 bpm
RR- 18 cpm
Systemic examination
CVS- S1 S2 +
RS- BAE+
CNS- NFND
P/A - Soft, Non tender
Investigations
Rbs- 311 mg/dl
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