Fever with dysphagia since 1week

Hi,This is faizal. M 5th semester students.This is an online elog book to discuss our patient health data after taking his consent.this also reflect my patient centered online learning portfolio.

A 35year old male patient came to OPD with
Chief complaint of:
Fever since 1week
Dysphagia since 1week

History of present illness: 
Patient was apparently asymptomatic since 6years back then he met with an accident (RTA)
Femur fracture and surgery was done.
Since then, patient complained of discharge from the femur site.Treatment of i.v amakacin and interossecus gentamycin for 20days.

Since 1year he is unable to walk and he was in complete bed rest ,after he walked with support of a stick.

1week back he complained of high grade fever with dysphagia both solid and liquid and feel burning sensation on throat.
No history of vomiting and diarrhoea

Past history:-
Not a k/c/o hypertension, epilepsy,asthma
 K/c/o type 2 DM since 6month

Personal history:-
Married
Appetite:-normal
Diet :-mixed
Bowels:- regular
Micturation:- normal
No addiction

Family history:-Insignificant

Drug history:-
Glimipiride 1mg and metformin 100mg

General examination:Patient is conscious, coherent and cooperative.
BP-110/60mm Hg
PR-24/min
SpO2:-
pallor ++,no cyanosis,no lymphadenopathy,no edema



Systemic examination -s1,s2heard
Normal vasicular breathing

Investigation:-

ECG:-


Diagnosis:- spesis induced MODS
                 Secondary to osteomyelitis
          Oral candidasis

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