45 years old female with shortness of breath
Chief complaints : Fever since 10 days Giddiness since 3 days Dry cough since 3 days Loose stools since 1 day Vomiting since 1 day History of present illness : Patient was apparently asymptomatic since 10 days and then she developed fever which is associated with the chills and rigor and with diurnal variation increased during night and subsided by night and she had giddiness and shortness of breath since 3 days and then for which she went RMP doctor and he gave ORS and from then she had 1 episode of vomiting non projectile non bilious contains food particles and she had 1 episode of loose stools since 1 day and she has history of dry cough since 3 days . History of past illness : She is not known case of diabetes, hypertension, epilepsy,CVA,CAD, thyroid disorders. PROVISONAL DIAGNOSIS : Acute pulmonary Koch S Dry cough Stool passed + No Fever spikes Decreased tingling sensation of wrists O Pt is conscious ,coherent , cooperative Temp: BP: 100/70 mmHg PR : 72 bpm RR : 24c