GM CASE-6


November 10, 2021

 November 9, 2021


This is an online e log book to discuss our patient de-identified health data shared after taking his / her /guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input 




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


Patient was apparently asymptomatic 1momty  back. Then she attended a marriage and when she returned home she developed chills and fever. So she visited a local 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 10days back and she was adviced medication. Then fever was subsided on medication After 2 days of fever subsiding ,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:




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