S.Rakesh kumar roll.no.153

Patient was apparently asymptomatic 2weeks back then she developed right leg swelling associated with wound on  the right ankle and right leg anterior region. Swelling extended from the right foot to the mid part of shin.debridement of infection was done four days back.she had h/o of atrial fibrillation before surgery which is controlled. After surgery due to stress  induced  factor atrial fibrillation which-eventually  lead to left heart failure and then right heart failure she developed shortness of breath and pedal edema. No h/o of fever, vomiting Past history: Not known Case of HTN,DM, asthma, qq1 Personal h/o Diet: mixed Bowel and bladder! Regular. Family ho:- No significant family history. GENERAL EXAMINATION:   pt is cc and non cooperative, moderately built and moderately nourished, well oriented with place and time, No pallor, no icterus, no cyanosis, no clubbing, no lymphadenopathy. Vitals: Pulse rate- 123 Bp - 110/80 Rr- 22 Temp- 98.4F Oxygen saturatio...

A 60 year old female came to GM OPD with Chief Complaints of fever since ③ days and cough associated with sputum since ③ days. Difficulty in swallowing and pain during swallowing since ③ dogs, hoarseness of voice since ③ days shortness of breath since ③ days HOPI : The patient was apparently asymptomatic ③ days back then she developed high grade fever, cough with sputum which is whitish in coour non foul smelling and  non blood stained. There was a history of difificult in swallowing & pain  during swallowing there  h/o shortness  of breath ③ days back grade -II. decreased appetite since 5-6 months, loss of weight since 1 year.( 20kg wt loss) PAST HISTORY : History of giddiness and fall ,followed by unconsciousness. Known case of hypertension since 1 year but since 5-6 months not on regular medication . Known case of thyroid  disorder since 1 year on medication. known case of DM || since ⑨ years and medication since then, tab- glibeclamide in morning, citagl...

Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies  No Past Surgical History Personal History  Diet -Mixed Appeteite- Decreased  Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Provisional Diagnosis : Viral Pyrexia Vitals Bp 100/60 mmHg Pulse 75BPM RR 14cpm GRBS 437 mg/dl Pt Is C/C/C well oriented with Time,Place and Person  Pallor Absent Icterus Absent Clubbing Absent Koilonychia Absent Lymphadenopathy Absent Edema Absent Systemic Examination CVS S1 S2 Heard  RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis Viral Pyrexia Investigation Chest X Ray : 30-10-22 28-10-22 Rapid Dengue - NS1 Positive 30/10/22  Urine Sugars - Present Albumin Nil 30-10-22 Platelet Count - 27000 Treatment Tab PCM  Inj Neomol  Inj Zofer  4mg IV SOS Inj Piptaz 4mg IV BD Tab Doxy 100mg PO BD SOAP NOTES DAY 1 Viral Pyrexia  Secondary to Dengue Thrombocytopenia Vitals Bp 120/80 PR 75 GRBS 228mg/d...

CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days .  HOPI: Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. She had history of loose stools since 3 days, which is 4-5 episodes per day, watery in consistency.  Past history: K/c/o  Hypertension since 7 years.  7 yrs back she had c/o giddiness for which she went to hospital and was found to have HTN.  Personal history: Diet- mixed Appetite-decreased Bowel and Bladder movements- regular. Addictions- Allergies- none General examination : Patient is conscious, coherent and cooperative. Well oriented to time, place and person. Moderately built and mo...

A 53 year old female patient came to opd with chief complaint shortness    of breath since 3days .decreased urine output.    History of present illness:patient was apparently asymptomatic 10 months back.Then she developed SOB.She is brought to hospital found PH,raised creatine ,urea levels. which is Diagnosed as kidney failure.Then she underwent dialysis for every 2-3 times a week.she had two times blood transfusion  .Three days back she developed shortness of breath and decreased urinary output. PAST HISTORY: There was a history of HTN,NO H/O DM,ASTHMA ,TB,EPILEPSY. Personal history: Appetite normal Diet:mixed Bowel movements:regular BLADDER:Decrease urinary output No allergies No addiction Family history: No significant family history General examination Patient was consious,coherent,and cooperative,well oriented with time and place. Bp:150/90 Temperature:98F Pulse:86 Pallor:present Icterus:absent Clubbing:absent Cyanosis:absent Lymphadenopathy:absent Oedema:b...