33F with fever and body pains since 5 days

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A 33 year old female a homemaker belonging to middle class according to modified kuppuswamy scale presented to general medicine OPD with C/o 
Fever since 5 days along with dry cough, cold, headache and body pains
Burning micturition while using medicine

HOPI
Patient was apparently asymptomatic 5 days back then she had fever which was intermittent in onset, high grade associated with severe body pains, dry cough, cold and headache along with retro orbital pain since 5 days with no aggravating factors and temporarily relieves on medication. 
Also complaints of burning micturition while taking medicine
No vomitings and diarrhea

Past History
N/K/C/o diabetes,hypertension,TB,asthma,epilepsy
No previous surgeries

Menstrual History
Attained Menarche at 12 years
Has regular cycles 5/28
Moderate flow
Not associated with clots and pain

Family History
Not significant

Personal History
Mixed diet
Appetite - normal
Regular bowel and bladder movements
Burning micturition while taking medication
Sleep - adequate
No known allergies and addictions

GENERAL EXAMINATION
Patient was C/C/C
Moderately built and nourished
Weight- 52kgs
No signs of pallor,icterus,cyanosis, clubbing,pedal edema and lymphadenopathy


Vitals
Temp - 100.5F
BP - 90/60mmHg
Pulse rate - 70bpm
RR - 20 breaths/min

Systemic Examination
CVS - S1,S2 heard,no murmurs
RS - normal vesicular breath sounds heard
CNS - No neurological deficits
Per abdomen - soft and non tender

Provisional diagnosis
Viral pyrexia

Treatment
Paracetamol 650mg every 6th hourly


4th hourly temp check
11/10 - evening - 101.3F
11/10 - night - around 100F
12/10 morning 102.1F



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