14 yr old male with involuntary movements and vomitings
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A 14 year male patient presented to Opd with cheifcomplaints of involuntary movements and vomitings since 1 day.
History of present illnesses:
-Patient was asymptomatic 20 days back and then he noticed facial puffiness and pedal edema for which they consulted local health care centre.
-After few days he developed fever vomitings and involuntary movements.
-He also noticed coca coloured urine.
History of past illness:
No history of diabetes, hypertension, epilepsy,Asthma and TB.
Personal history:
Diet:mixed
Appetite:Normal
Sleep: adequate
Bowel and bladder movements: regular
No addictions
No history of allergy to the known drugs.
Family history:
No history of similar complaints in the family.
Treatment history:
He was given symptomatic treatment for fever facial puffiness and pedal edema.
General examination:
Patient was concious coherent and coperative well oriented to time place and person.
Built:well built
Nourishment: well nourished..
-No pallor
-No clubbing
-No cyanosis
-No icterus
-No generalized lymphedenopathy
-No pedal edema.
Vitals :
Temperature : Afebrile
Pulse rate: 82 beats per min
Respiratory rate : 17 cycles per min
Bp :110/70 mm of Hg..
SYSTEMIC EXAMINATION
CARDIOVASCULAR SYSTEM
Inspection :
Chest wall is bilaterally symmetrical
No Precordial bulge
No visible pulsations, engorged veins,scars, sinuses
Palpation :
JVP - normal
Apex beat : felt in the left 5th intercostal space
In midclavicular line
Auscultation :
S1 ,S2 Heard
RESPIRATORY SYSTEM
Bilateral airway +
Position of trachea- central
Normal vesicular breath sounds - heard
No added sounds
PER ABDOMEN
Abdomen is soft and non tender
Bowel sounds heard
CENTRAL NERVOUS SYSTEM
Patient is conscious
Reflexes are normal
Speech is normal.
Investigations -
HEMOGRAM
Chest x-ray PA VIEW
CUE
CT BRAIN
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