S.Rakesh kumar roll.no.153

History of presenting Illness: Patient was apparently asymptomatic 12 days back then she developed fever which is sudden in onset, continuous, with chills and no rigor ,no evening rise of temperature. Patient complains of backache since 12 days , continuous which is insidious in onset,pain is confined to shoulder mostly ,dull aching type,non radiating,with no aggravating and relieving factors. Patient complains of Generalised Weakness since 12 days    Patient went to RMP doctor ,used medicines for 2 days which didn't subside ,so they went to Nalgonda government hospital and was diagnosed with dengue and low platelet count ,medicines were taken for 3 days which gave no relief  Patient went to miryalaguda  hospital on 28 December  , got admitted and came to KIMS for further management . Past History: Patient has no similar complaints in the past No history of Diabetes mellitus, hypertension,asthma, epilepsy, tuberculosis. Personal History: Patient takes mixed diet...

CHIEF COMPLAINTS  an episode of seizures 1 week back and he had bleeding from mouth    HISTORY  OF PRESENTING ILLNESS: Patient was apparently asymptomatic 20 years ago after which he started consuming alcohol ,initially he started consuming toddy when he was young then he started consuming alcohol with his friends at his work 3-6 units weekly once on Sunday.This continued for 7years back.He started consuming alcohol excess due to family problems.he had 3 years  back  ah/o of 3episodes of seizures each episode precedes consumption of alcohol is present.he decided that alcohol might be the reason and went to a local doctor who told the same reason for which he decided to stop consuming alcohol which he did.he was abstinent for one year.Again he started consuming alcohol duo to family problems. One week back then he developed an episode seizures while he was doing his work on monday .Then he went to the RMP for the treatment he had given ...

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...