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female with break bone fever

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome 25 yr old female housewife by occupation  resident of nalgonda came to general medicine OPD with  Chief complaints:- Body pains since 6 days Fever since 3 days History of presenting illness:- Patient was apparently asymptomatic 6 days back then she started developing body pains  insidious in onset ,gradually progressive, dragging type symmetrical in nature small joints are involved more not associated with swelling local rise of temperature and redness,aggregated vated during fever no relieving f