SURYAVAMSHI UMAKANTH ROLL NO 155

45 year old male patient presented to the OPD with cheif complaints of shortness of breath GRADE II-III since 20 days,loss of appetite since 20 days and low back ache since 5 days HISTORY OF PRESENTING ILLNESS  45 year old male patient resident of nalgonda, mechanic by occupation. He was apparently asymptomatic 35 days back ,then he developed shortness of breath for which he went to the local hospital ,after further investigation diagnosed with chronic kidney disease and underwent dialysis. (4 times)   PAST HISTORY: No similar complaints in the past  MEDICAL HISTORY: He is a known case of hypertension (since 1 month) ,using Tab NICARDIA 10mg Not a known case of diabetes, tuberculosis, epilepsy, asthma. FAMILY HISTORY: No significant family history. PERSONAL HISTORY: Mixed diet REDUCED APPETITE since 3 months  Adequate sleep Regular bowel and bladder movement since 15 days Patient consumes alcohol 1 quarter of whiskey per day since 12 years on regular basis .Last consumption was 20 days

Chief complaints :  A 60 yr old male came to OPD with chief complaints of altered behaviour and vomiting HOPI :  Patient was apparently asymptomatic 12 years back , then he developed dizziness and weakness  , on examination in local hospital he was diagnosed with diabetes , then onwards he was on OHAs taking one tablet a day , this continued for 6 years , then due to uncontrolled blood sugar levels he had to increase his dose to twice a day , then from past 3 years he's on Regular insulin injection (15 IU in morning and 10 IU units in evening ) , 4 months back while he was driving accidentally he has burnt his right foot due to silencer ( exhaust ) , which got infected , that led to amputation of his 3 right lateral toes , after on general check up he was informed that his blood sugars are in control  and was asked to take OHAs . 3 days back he attended a function where he had consumed alcohol , had non veg , he skipped his medication on that evening , then he reported to have alte

LIVER ABSCESS 35 year old male came to our hospital with chief complaints of upper abdomen pain since one week, fever since one week. Patient was apparently asymptomatic 1 week ago, then developed pain abdomen which was insidious in onset, gradually progressive. Pain in right hypochondrium and gastric region radiating towards back with no aggravating and relieving factors. Fever is on and off since one week, high grade not associated with chills and rigor, cold, cough, body pains, nausea vomitings, loose stools and constipation. No history of bleeding manifestations. PAST HISTORY Not a k/c/o T2DM,HTN,asthma , epilepsy,TB  PERSONAL HISTORY Diet - mixed Appetite - decreased since 1 week Sleep- inadequate due to pain Bowel movements- normal Addictions- alcohol, regular, since 10 years Smoking, 10 pack years General physical examination Pt is conscious, coherent, cooperative,  Icterus- present   Vitals- Temp- afebrile  Bp-110/70 mm hg Pr- 86 bpm Rr-20 cpm Spo2- 98% on RA Vitals on 2-2-22 B