Dr. Shital M (Internal Medicine) needs a second opinion on this medical case.
26 y married female presented with a generalized body weakness for two days , associated with low grade fever and Headache, joint pain namely (Knee joints , lower back pain ), Nausea , Dysuria ,with anorexia , on the second day sore throat begun .and unilateral conjunctivitis started with the weakness (history of exposure to affected patient )
the condition responded weakly to Paracetamol and strongly to NSAID.
she was on 3rd day of her menstrual cycle
on examination :
the patient is lethargic well oriented and conscious
abdomen :no palpable organ is felt no tenderness no pain.
auscultation :chest is clear with no added sound
Renal function is normal .
Vital sign :
PMH :she had recurrent UTI Vaginits (4 times within 3 months )
she was taking Metronidazole for the condition and took different kinds of antibiotics for the same condition .