18100006002

 A 70 years old female patient residing in Nalgonda, is a homemaker, presented to OPD with  complaints of- loss of appetite since one week,  - generalised weakness since one week  - fever since 5 days  -burning micturation since 5days  History of present illness- patient was apparently asymptomatic one week back then she gradually developed loss of appetite since one week which was not associated with nausea, vomiting, associated with generalised weakness fever since 5 days which was high grade associated with chills and rigors, no diurnal variation, relived on taking medication, not associated with headache, cold , cough she also started experiencing burning micturation since 5 days associated with low backache , no history of dark coloured urine or blood in urine no h/o cold, cough, chest pain, palpitations, shortness of breath, pedal edema , reduction in urine output, diarrhoea, constipation, vomiting, nausea, pain abdomen Past history: she has been havi...