General medicine case 1

 A 74 yr old female with fever September 21 , 2021 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Unit 1 admission  Amc Date of admission: September 14 , 2021 A 74 year old female came with complaints of fever since 4 days,generalised weakness since 4days  two episodes of vomiting 1 day ago  History of present illness: Pt was apparently asymptomatic 4 days ago,c/o fever,highgrade,intermittent,not associated with chills and rigors  Associated with generalized weakness, two episodes vomitings,subsided on its own  Shortness of breath on exertion then progressed to shortness of breath on rest    pericardial effusion 1year ago,diagnosed,on medication for 6 months later subsided No h/o orthopnea, dyspnea No pain  abdomen,loose stools Past history:  Dm since 3 years hypothyroidism since 10 years on regular medication Personal history: Diet:mixed Appetite:normal Bowel,Bladder:regular No addiction