A 26 year old with fever and vomotings

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A female patient aged 26 years who is a resident of Nalgonda came with the chief complaints of H/o fever and vomitings since 4 days History of present illness: Patient was apparently asymptomatic 20days back and had complaints of dysmenorrhea and oligomenorrhea for which she went for gynecologist and managed conservatively for renal calculi for 7days. 10days back she ...