A 40 years old man with Fever, bodyache, headache.

Patient history:

C/O:

        Fever with chills

        Body-ache

        Pain in whole body

        Headache

        Chest pain

        Difficulty in micturation

        Ghabrahat

        Stool – 2-3 time

        Burning sensation in whole abdomen.

H/O

       Thyro/gastric perfection

No/H/O

        HTN / DM

Alcohol    –     no

Smoking  –     yes

Tambako  -     no

G/C - Poor

Pulse - 100/min

Temp - 99F

B.P. - 120/80mm/hg

CVS - S1, S2 (+)

CNS - cons

R/S - B/L clear

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Doctor's notes:

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Patient first visit notes

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History from duty doctor

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Investigation images: