A 25yr old female
A 25 yr old female housewife by occupation resident of nalgonda came to general medicine OPD with Chief complaints:- Body pains since 6 days Fever since 3 days History of presenting illness:- Patient was apparently asymptomatic 6 days back then she started developing body pains insidious in onset ,gradually progressive, dragging type symmetrical in nature small joints are involved more not associated with swelling local rise of temperature and redness,aggregated vated during fever no relieving factors Fever since 3 days sudden in onset continues in nature high grade associated with chills and rigors relieving on medication no aggravating factors Headache since 3 days during fever dragging type relived on medication and rest History of Vomitings 4 days back projectile type non bilious 3-4 episodes History of watery loose stools 4 days back 3-4 episodes History of petechial rash on left fore arm one day of admission after applying Bp cuff No history of cough,night sweats, abdomina