Chief Complaints: 40yr female with to casuality with complaints of high grade fever since 5-6 days C/o vomitings since yesterday C/i loose stools since today . Pt was apparently asymptomatic 5-6 days then she developed fever , sudden high grade not a/w chills and rigors , intermittent, releived temporarily on medication. C/o vomiting since yesterday h/o 3-4 episodes , content good particles ,non bilious , non projectile , nausea present C/o abdominal bloating since yesterday C/o SOB since yesterday , releived on lying down, No chestpain , palpitations PND orthopnea C/o loose stools since today , watery consistency, 4-5 episodes ,small quantity, non blood stained , not associated with pain abdomen. C/o epigastric pain since today , insidious onset , continuous , non radiating Past History: N/k/c/o HTN DM CVA CAD TB ATHMA K/c/o Hypothyroidism since 10 years on tab. Thyronorm 100mcg /po/ od using irregularly since 15 days On examination: Pt is c/c/c...
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