A 35 YEAR OLD MALE WITH FEVER,CHILLS And ABDOMEN PAIN

-CHIEF COMPLAINT:
•A 35 year old male patient , Carpenter by occupation came to casuality with a chief complaint of Fever,chills and pain in right side of abdomen since 5 days.

-HISTORY OF PRESENT ILLNESS:
•Patient was apparently asymptomatic till 6 days back then he had developed fever(high grade) and chills which used to relieve on medication,From 5 days patient had developed abdomen pain in right hypochondrium region ,Right lumbar region(non radiating)

-HISTORY OF PAST ILLNESS:
 No H/O DM,BP,TB,CAD,CVD,Asthma

-PERSONAL HISTORY:
Appetite-Normal
Diet-Mixed
Sleep-Adequate
Bowel and Bladder movement-Regular
No known allergies
No smoking
Alcoholic regularly

-FAMILY HISTORY:
No known significant Family history

-PHYSICAL EXAMINATION:
Patient is conscious,coherent and cooperative

-No pallor

-No Cyanosis
-No icterus

-No lymphadenopathy

Temperature -Afebrile
Pulse rate-98/min
Respiration rate-22/min
BP-110/80 mm Hg
Spo-98 percent

-SYSTEMIC EXAMINATION:
CVS
S1 and S2 sounds are heard
No murmurs and thrills

Respiratory System
Trachea central 
No drooping of shoulder
No supraclavicular hallowing

Abdomen
Shape of abdomen-Scalloped
Tenderness- tenderness on the right lumbar region
Palpable mass-No
Hernial orifices -Normal
Freefluid-No
Bruits-No
Liver-Not palpable
Spleen-Not palpable


INVESTIGATIONS
LFT
Total bil-0.74 mg/dl
Direct-O.17 mg/dl
SGOT-17 IUIL
SGPT-75 IUIL
Proteins-6.6 gm/dl
A/G ration-0.89 gm/dl
Hb -13.2 mg/do
TLC-15,500
N-81
L-12
E-1
B-0
PCV-40.3
PLT-7.7 L
-DIAGNOSIS:Liver abscess
-TREATMENT:



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