A 15 year old girl was admitted with history of moderate grade fever of one month duration. One week after onset of fever she noticed onset of swellings in pre-auricular and post-auricular regions bilaterally, which were painless.
One week prior to entry she developed pain and swelling in both knee and ankle joints, associated with morning stiffness, and significant restriction of …

A 7 year old boy from Remote village presented with complains of vomiting 4-5 episodes per day for 3 months, inability to walk without support for 20 days and loss of vision in both eyes for 12 days.
According to the parents, the child developed vomiting , without associated Nausea, which was aggravated in the morning after arising from bed. Vomiting …

Patient Details
Master Lama
Age-6 years
Sex-Male
Address- Kathmandu
Total stay-18 days
History
History given by Parents and child himself. ( Reliable)
Chief Complains-
Fever X 11 days
Swelling in Neck X 11 days
History of Present Illness
The child was apparently well 11days back, when he developed fever, continuous, highgrade, upto104F, maximum during nights,coming down on medication(Ibuprofen+Paracetamol) and was a/w profuse sweating how ever there was no h/o chills or rigors.
Headache+on/offassociatedwithfever,frontal.
Fever …

13 year Male child came with complains of swelling of the body starting from the periorbital area for 8 days and then pitting oedema on the legs for 2 days.There is no history of fever but he complains of headache, temporal aggravated by heat and there is Blurring of vision as well.
He complains of occassional productive cough with blood stained …