32F neck pain , fever a/w legs and hands pain
Patient was asymptomatic 10days ago then developed neck pain which is insidious in onset.Then she developed fever 2 days ago.Fever is intermittent mostly seen during night time a/w leg and hand pain which is dragging type and also sweating.No tenderness seen.On medication fever reduced for a while then again reoccured . She also has slight cold. Past history : Shortness of breath seen on walking few steps,No h/o DM, No h/o HTN , No thyroid Past surgical history: undergone tubectomy 15 yrs ago Personal history : Appetite reduced Sleep not adequate Mixed diet Bowel bladder movements normal General examination: Grade 1 edema No pallor No icterus No cyanosis No clubbing No lymphadenopathy