A 50 Yr old male with bleeding gums

 A 50 Yr old male patient presented to the Opd with chief complaints of

Bleeding from mouth since 1 day

Fever Generalized weakness since 4 days

Headache neck pain since 20 days

History of presenting illness

Patient was apparently asymptomatic 20 days back he developed headache dragging type of pain
Fever and Generalized weakness since 4 days not associated with chills and rigors 
Bleeding from mouth since 1 day morning

History of past illness

K/c/o HTN since 5 months and under medication 
Not k/c/o DM ASTHMA CAD

Personal history 

Mixed diet
Normal appetite 
Adequate sleep
Normal bowel and bladder movements 
Chronic smoker since 15 years 2-3 cigarettes per day

Vitals

Pluse 84bpm
Bp 140/90mmhg

General examination 

No Pallor icterus cyanosis lymphadenopathy

Systematic examination 













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