21/F with fever ,anaemai , recurrent UTI ,AUB-O with K/C/of DM 1

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 21 year old female studying Bsc computer sciences from nakrekal with two siblings( brothers : no significant medical issues) came with complaints of fever since 20 days lasted for 10 days high grade associated with chills and rigor not associated with cold ,cough, sob 

 

Year 2000 : Born

2007(Patient age 7 years) : complaints of increased frequency of micturition and history of fall because of giddiness so had been to hospital and grbs showed 750 mg/dl and was started on insulin since then.

She had been to doctor for DM 1 check up 

2013 : Attained menarche ( bleeds for 6 days( heavy flow of 4 pads soakage a day for every 1-2 months)

  Since 2015 : increased bleeding during mensus when compared to previous years

Her hb in 2018 : 9.5 gm%

Hb in 2019 : 8 gm%

April 20 /2021 : fever high grade associated with chills associated with pain abdmonem in the left iliac fossa went to hospital and got treated. 

No Burning micturition , increase frequency or urjency, dysuria

Gynic referral taken I/v/of genitourinary TB 

Treatment given: 

1) Inj ceftriaxone 1 gm iv bd 

2) Tab norflox 400 mg Po/bd 

3) Tab PCM 650 mg/po/TID 

4) Tab pantop 40 mg po/od 

                     8am            2pm          8 pm

5) INJ HAI   14              12              12

            NpH 22                0               20 

6 ) GRBS - 7 point profile 

7) BP/PR/Temp - monitoring  

Diagnosis : 21/F with Anemia secondsry to ? Iron deficiency with k/c/of DM 1 with AUB-O with recurrent UTI with ? genital  TB