58 yr old woman with fever and thrombocytopenia
Vamshi krishna Roll no :99 CHEIF COMPLAINTS : A 58 yr old woman farmer by occupation resident of nakrekal presented to op with chief complaints of fever and swelling on both legs. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 5 days back. Then she developed fever which was insidious in onset intermittent in nature and relieved on medication(dolo) and increases during night time around 4 AM. 5 days before the onset of fever she was travelling to nearby villages in rains and had decreased appetite and has also been working on her farms. There is history of swelling in the foot which was gradual and associated with onset of fever and has decreased since 2 days. There is a history of loose stools 5 days back with 4 episodes which was because of intake of Vamu ( Ajwain) , ( which she normally takes due to her constipation i.e., she has bowel movements once every 3 days and every time before she had normal motions but this time it was diarrhea) and associated with