48yr/M presented with fever, abdominal pain, yellowish discoloration eyes, sub conjunctival hemorrhages.

September 03, 2020

A 48 year old Male patient , a farmer by occupation presented to opd with

C/o : fever since one week

Pain abdomen since one week associate with loose stools .

Yellowish discoloration of eyes since one week

Pedal edema since 5 days

Decreased urine output since 5 days c hematuria 4 days back

HOPI :

Patient was apparently asymptomatic one week back then he presented with c/o

Fever since one week, high grade fever , continuous , not associated with child and rigors .associated with pain abdomen..all over the abdomen , more in rt hypochondrium

.. h/o : loose stools 5 episodes within 24hrs ,. 4 days back

And h/ o : yellowish discoloration of sclera skin and mucous membranes since one week

c/o b/l pedal edema since 5 days , from ankle to knee .. pitting type ..associated with burning micturation ,, and decreased urine output since 5 days

And hematuria 4 days back after receiving treatment in a local hospital in suryapet. patient then went to osmania general hospital and got investigations done..where his serum creatinine was elevated above 5.0 and had indirect hyperbilurubinemia .. and elevated tlc counts and thrombocytopeni.. patient then came to Kim's hospital with the advice complaints .

PAST HISTORY:

No h/o hypertension ,dm, asthma,

Patient h/o alcohol consumption ocassionally

No similar complaints in the past

PERSONAL HISTORY:

sleep and appetite decreased since fever onset.

Diet mixed

Addictions: alcoholic since 15 years whisky/toddy 4- 5 times per month., smoking since 15 years 2-3per day.

ON EXAMINATION :

Moderately built and nourished.

not Pallor

Icterus present