28 year old female with fever and headache

Chief complaints: 
●H/o of fever since 4 days 

● H/O of headache since 3 days 

● H/o of nausea since three days

●H/o of bodypain since three days

History of present illness: 
●  patient was apparantly asymptomatic 14 days back then she developed fever after taking her covid vaccine associated with vomitings for 2 days .she took medication from local RMP and fever subsided.
● C/o fever which is continuous type and associated with chills and rigors with retroorbital pain since 3 days .
● C/o headache diffuse type associated with nausea.
● H/o vomitings since 3 days which is non bilious and non rejectable.
 
History of past illness: 
History of hair loss since 3 years and weight loss since 3 years 
● No h/o diabetes, hypertension, asthma,Tb,
● No h/o blood transfusion ,surgeries 
● No h/o chemo and radiation 
●No hormones or antibiotics used.
  
PERSONAL HISTORY: 
* Married and house wife
* appetite _ lost 
* bowel is regular 
* micturation is normal 
* nonvegeterian
* no known allergies
* non alcoholic and non smoker

Physical examination:
No cyanosis, no pallor,no edema and no clubbing and no dehydration and well nourished 
* on examination of neck multiple cervical lymphadenopathy.
* enlargement of thyroid. 


Menstrual history:
Menorrhagia with small clots using 3 pads per day. 
White discharge 3 days with foul smell.


Investigations:
 1. Complete blood picture





* Hb 6.6
* RBC ..anisopikilocytosis with hypochromia with microcytes ,tear drop cells and pencil forms.
* WBC reduced on smear 
* Impression : Microcytic hypochromic anemia with leukopenia. 
* FERRITIN : 5.5

So she referred to gynic dept. And USG abdomen done


















Diagnosis: Acute thyroiditis with cervical lymphadenopathy secondary to menorrhagia 
Iron deficiency anemia/ microcytic hypochromic anemia.


Treatment. ...





https://lekhanakeetha64.blogspot.com/2021/10/oct-gm-assignment.html




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