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)

benzodiazepines

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