34M OPD with back pain since 3 months , Telangana PaJR

C/c - back pain since past 3 months 

HOPI - The pain is insidious in onset ,throbbing type of pain , aggreviates on walking ,no relieving factors , associated with neck pain , headache and throat pain 

Past history - k/c/o renal stones since 6 months currently not on medication
No h/o asthma , epilepsy, htn , tb , DM ,CAD 
No h/o past surgeries 
No known allergies 

Personal history -sleep is adequate ,diet is mixed appetite is normal ,bowel and bladder movements are regular ,no addictions

Family history - not significant

Vitals
Temp - afebrile 
BP - 120/80 mm Hg 
PR- 80 bpm
RR- 12 cycles/ min

General examination
Patient is concious coherent and cooperative.
Moderately built and nourished.
No signs of pallor icterus clubbing cyanosis lymphadenopathy oedema.

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