14 YR OLD PATIENT WITH PYREXIA
A 14 YR OLD MALE A 14 yr old patient came to the casuality with cheif complaints of fever since 5days and vomitings since 2days. History of Present illness:- The patient was apparently asymptomatic 5days ago, then he developed fever which was high grade associated with chills and subsided on medication. Vomitings since 2 days, 2 episodes which was non projectile and non bilious associated with food particles and he complaints of black coloured stools, 2 episodes since 2days. Generalised weakness is also present. PERSONAL HISTORY:- Patient has mixed diet with normal appetite and adequate sleep. He has normal bowel movements and bladder filling. No addictions. No significant family history or allergic history. GENERAL EXAMNATION:- Patient is conscious, coherent and co operative with moderate built and moderate nourishment. No signs of pallor, icterus, cyanosis, clubbing, lymphadenopathy, pedal edema. VITALS:- BP: 100/700 mmhg, PR: 86bpm Temp: 98.2°F, ...