60F Diabetes 10 days, fever, weakness since 1 day

September 30, 2023

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I am presemting a case of 60 year old female, house wife resident of addaguduru, came to opd with

Chief complaints:

High grade fever since 6 days, not associated with chills and rigor, complaints of weekness since 2 days.

History of present illness:

Patient was apparently asymptomatic 5 days back and then she developed fever high grade , continuous not associated with chills and rigor

C/o generalized weakness since one day, urinary incontinence,

So they went to local hospital and got to know that she is having thypoid and increased sugar levels in the body , so they have brought her to kamineni

No c/o nausea , vomitings , no abdominal pain,

No loose stools no cough cold

Past history:

known case of dm type 2 since 10 years

Previously using glimeperide 2 mg,metformin 500 mg

Since thursday glimiperide 1 mg , metformin 500 mg

Not a known case of HTN, CVA,CAD, epilepsy, bleeding diaorder.

Patient has h/o diabetic retinopathy since 5 years.

PERSONAL HISTORY:

Diet - Mixed

Appetite - Normal

Sleep -Adequate