A 46 year old woman with fever and vomiting
This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs Chief complaint- A 46 year old woman, residing in narketpally presented to OPD with the chief complaints of fever and vomiting. History of present illness- The patient was apparently asymptomatic 5 days ago but then developed fever with no diurnal variations. She also complained of vomiting, decreased appetite and weakness since past 5 days. Past illness- No history of HTN, Diabetes, Asthma. White patches seen on bilateral forearm, right hand and around mouth since 2 years. Personal History- Married. Diet: vegetarian Appetite: normal Sleep: adequate Bowel and b