G.Preethi , 1601006057, roll no :50
56Y old female came to OP with chief complaints of fever since 1 month B/L swelling of lower limb since 1month Loss of apetite since 20 day Generalised weaknesa since 20 days Vomitings since 3 daysdays History of present illness : - Fever was high grade, intermittent not associated with chills and rigors , cold and cough. - Associated with decreased apetite and generalised weakness, burning micturation was on and off and associated with suprapubic pain - Swelling of lower limbs was on and off since 2 years and not associated with SOB, palpatations, decreased urine output, facial puffiness - on presentation pedal edema was not seen. patient denied the history of usage of Nsaids . Patient was apparently asymptomatic 10 yrs back had severe menstrual flow , consulted a gynaecologist . She was advised for hysterectomy-operated and biopsy was done . - History of past illness :