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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