74M cold Since 4 days Fever , cough, neckpain,bodypains since 3 days
patient came to the OPD with the cheap compliants of cold Since 4 days and fever, body pains, cough, neck pain since 3 days
Fever is Insidious in onset and gradually progressive leg pains are of throbbing type from mid thigh to ankle and radiates to t h i g h during sleeping
retro orbital brain is present
burning sensation in Eyes is present from 3 days
no significant part history
no history of diabetes mellitus hypertension asthma TB CVA CAD
personal history
sleep is disturbed
appetite is reduced
mixed diet
burning micturition since 3 days bowel movementsare normal occasional alcoholic drinker
no other addictions
no significant family history
general e examination
no pallor
no icterus
no lymphadenopathy
no edema no cyanosis
no clubbing
his pulse was 76 BPM
respiratory rate 26 bpm
blood pressure 110 / 70 mm of hg
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