A65YEARS MALE CAME TO CASUALLY C/O FEVER SINCE 20DAYS SOB SINCE 2DAYS.

A 65YEAR MALE BROUGHT TO CASUALLY C/O OF FEVER SINCE 20DAYS 
SOB SINCE 2DAYS
PAIN ABDOMEN SINCE 2DAYS
DECREASED URINE OUTPUT FROM 1DAY
ABSET URINE OUTPUT FROM NIGHT

HOPI
PATIENT WAS APPARENTLY ASSYMPTOMATIC 20DAYS BACK DEVELOPED FEVER ON AND OFF HIGH GRADE FEVER ASSOSSITED WITH CHILLS AND RIGORS FOR WHICH HE WAS TAKEN TO PRIVATE HOSPITAL DIAGNOSED TO HAVE THROMBOCYTOPENIA
HE DEVELOPED SOB SINCE 2DAYS
PAIN ABDOMEN IN RT UPPER ABDOMEN INSIDIOUS ONSET GRADUALLY PROGRESSIVE IN NATURE
H/O VIMITINGS 20BACK NON BILIOUS ASSOCIATED WITH FOOD PARTICLES 
C/O ABDOMINAL DISTENSION FROM YEATERDAY
NO H/O LOOSE STOOLS  NO H/O BURNING MICTURITION 
NO H/O COUGH

PAST HISTORY
PT HAD A FALL N HAD HIP SURGERY 2022JAN ?HIP REPLACEMENT
IS NOT A K/N/C/O DM HTN ASTHMA CAD EPILEPSY HYPOTHYROID

PERSONAL HISTORY
APPETITE
DIET
SLEEP
ADDICTIONS
BOWEL N BLADDER MOVEMENTS
ON GENERAL EXAMINATION
PT IS DROWSY AND ALTERED
PR 110BPM
RR40CPM
BP110/70MM OF HG
CVSS1S2HEARED
RS BAE PRESENT
P/A DISTENDED TENDER PRESENT ALL OVER ABDOMEN MOST PROMINENT IN RT HYPOCHONDRIUM
CNS PUPILS NORMAL SIZE REACTING TO LIGHT 
SYSTEMIC EXAMINATION
PER ABDOMEN



BLOOD GROUP O POSITIVE

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