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CASE OF A 37 YEAR OLD MALE WITH C/O FEVER,COUGH SINCE 3 DAYS

A 37 year old male patient,married and has 2 children tractor driver by occupation resident of chityala came with  CHIEF COMPLAINTS: - Fever since 3 days  - Cough since 3 days  - Loss of appetite since 3 days  - Blackish discoloration of stools (malena) since 3 days  - Decreased sleep since 3 days  - Loose stools since 2 days  HOPI : Patient was apparently asymptomatic  5 years back  - 5 years prior to this presentation he had low backache for which he went to a local hospital and had been diagnosed with diabetes type2 and was kept on medication and was adviced to have regular checkups once a month.  One year later, he experienced severe pain abdomen followed by shortness of breath ,where he was taken to a hospital in hyd and there he was found to have deranged RFT. 2 sessions of hemodialysis was done (indication unknown) .He stayed in hsptl for 8 days and got discharged. From then he was on conservative treatment for 3 years .  After discharge from the hospital he quitted doing his us

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