GENERAL MEDICINE ELOG-9

A 40 yr old male patient came with cheif complaints of lower back pain since 3 days

HOPI:Patient was apparently asymptomatic 15 days back then he got snake(Russell's viper) bite on left ring finger while working in the field went to the local hospital and managed Then after 3 days  developed lower back pain which is continues, insidious in onset sharp type,non radiating, aggravated on lieing in supine position relieved on medication assosiated with low grade fever,nausea,abdominal bloating
No history of burning micturition,increased or decreased output

PAST HISTORY:
No complaints of chets pain,cough,cold,loose stools, vomiting,Not a known case of diabetes,asthma,tb,epilepsy
PERSONAL HISTORY:
diet-mixed
Appetite -reduced
Sleep-adequate
Bowel nd bladder normal
No additions
FAMILY HISTORY:
no relevant family history 
GENERAL EXAMINATION:
Patient was conscious coherent well oriented to time place and person
No pallor,icterus,clubbing,cyanosis, lymphadenopathy,
Temperature-afebrile
Pulse-94beats /min


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