54F came to the OPD with chief complaint of generalised body ache

C/c : 
Pt came to OPD with chief complaints of generalised body pain

Hopi: 
Pain was insidious in onset and gradually progressive ,aggreviates on work and relieves on rest.
She even complains of joint pains 
H/O headache, fever,dizziness, blurring of vision and a significant amount of weight loss
No H/O palpations,chest pain,vomitings

Past history: 
K/C/O DM for past 1 and 1/2 years and is on metformin 500 medication
Not a K/C/O HTN, Thyroid, CAD, asthma

Personal history
Diet is mixed
Appetite is lost
Sleep is adequate
Bowel n bladder movements are normal
No known allergies
No addictions
No surgeries

Family history: 
No significant family history

General examination:
Patient was moderately built, weak , conscious
No signs of pallor,icterus, clubbing, cyanosis, lymphedenopathy,pedal edema
No significant marka
Bp:120/80mm of Hg
RR: 12cycles per minute
Pulse rate: 72bpm
Temperature:afebrile

Clinical images :Pt didn't provide any consent

Reports:
Patient's fasting GRBS = 106mg/dl

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