80 FEMALE, SEPSIS WITH MODS, B/L ACUTE PYELONEPHRITIS, COMMUNITY ACQUIRED PNEMONIA, ATRIAL FIBRILLATION WITH FVR, K/C/O HYPERTENSION, DIABETES MELLITUS, P/H/O.CA.CERVIX

PRESENTING COMPLAINTS :
PATIENT WAS BROUGHT TO CASUALTY FROM OUTSIDE HOSPITAL WITH C/O.FEVER SINCE 10 DAYS, BURNING MICTURITION SINCE 10 DAYS

HISTORY OF PRESENTING COMPLAINTS :
PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN SHE DEVELOPED HIGH GRADE FEVER NOT ASSOCIATED WITH CHILLS AND RIGORS, INTERMITTENT RELIEVED ON MEDICATION.
H/O.VOMITINGS 2-3 EPISODES /DAY, NON BILIOUS, NON BLOOD STAINED 
NO H
  • h/o HTN, on unknown medication
  • k/c/o T2DM, on unknown medication
  • p/h/o Cervical Cancer (15 yrs ago)
    s/p Radiotherapy, Brachytherapy & Chemo

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