CASE HISTORY
Chief complaint: A 45 yr old male from nalgonda was presented to opd with complaints of fever,vomiting and an episode of seziure History of present illness: Patient apprantely complaints of fever and chills History of past illness: Patient stopped working because of generalized weakness Personal history: Appetite-Normal Diet- mixed Bowles- normal Micturaition-normal Habits- alcohol(weekly twice) Family history: No history of diabetes No history of hypertension No history of heart diseases No history of cancer No history of TB Drug history: Patient is not allergic to any Known drug Systemic examination CVS: No Thrills S1 S2 sounds heard No cardiac murmurs Respiratory system Central portion of trachea No dysponea No wheezing CNS: Level of consciousness-drowsy Speech -slurred Provisional diagnosis Altered sensorium 2° to hyponatremia/alcohol with drawal Investigations CBP Serum Electrolytes Blood urea Treatment Inj.Pantop 40mg IV/OD Inj.zofer 40mg IV/SOS Inj.neomol 10