50year old female with pain abdomen


New admission
AMC bed no 2

CC:-50 yr old female came with complaints of fever and pain abdomen since 4 days

HOPI:-Patient was apparently alright 4 days back then she had insidious onset of intermittent fever,not associated with chills and rigors, relieved on taking medication.
Fever is associated with right sided abdominal pain, gradually progressive, non radiating not associated with any vomitings,loose stools.
No h/o any outside food intake

Past history: n/k/c/o DM/TB/ASTHMA/HTN/epilepsy

Personal history:toddy drinker

General examination:
No picckle
Vitals:
TEMP:99.6F
PR 110
RR 22
BP 120/90
GRBS 85

Systemic examination: 
CVS s1s2+, no murmers
RS. Nvbs heard
P/A. Soft non tender
CNS. NAD

Provisional diagnosis :
Pain abdomen under evaluation
? Liver abscess

Treatment:
INJ PAN 40 mg IV OD
INJ ZOFER 4 mg IV BD
IVF NS RL DNS@75mL/hr
INJ METROGYL 100mL IV TID
INJ CEFTRIAXONE 1mg/IV/BD

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