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Sheila Shelter

36 y old female


PC       fever, rigor, swollen lymph nodes


HPC     iv drug user (IVDU)

symptoms started 2 days ago with swollen lymph nodes

feeling very unwell

generalised pain in muscles and joints

has had similar problems before – 10 y ago


PMH    septicaemia 2003

chronic Hepatitis B

multiple admissions with overdoses (OD's)

chronic cough


DH       illegal drugs (heroin, cocaine)


no known drug allergies (NKDA)


SH       lives with friends

long standing opiate addictsmokes 40/day

alcohol 20 pints/week


FH   doesn't know her parents

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