SURYAVAMSHI UMAKANTH ROLL NO 155

Chief complaints :  Bilateral pedal edema on and off since 1 month. Shortness of breath since 2 days. Fever since 4 days. History of present illness :  Patient was apparently asymptomatic 1 month back (G2P1L1 at 30 weeks of gestation) when she developed generalized edema for which she visited local hospital and was diagnosed with gestational hypertension and started on Tab.Labet 100 mg. After 1 week she developed 2 episodes of seizures (tongue bite - present, LOC - present) for which she went to Yashoda hospital. MRI brain was done which showed PRES (Posterior reversible encephalopathy syndrome) and Emergency LSCS was done on 10/10/22 @ 30 weeks of gestation i.v.o fetal distress. Patient developed 1 episode of seizure in OT and was kept on mechanical ventilation support and was extubated after 1 day. Patient was started on IV antihypertensives, IV antiepileptics, blood transfusion, lasix. After 1 day, patient was discharged on LAMA from Yashoda. Patient was taken to local hosp...

CHIEF COMPLAINTS A 35 year old who is painter by occupation came with chief complaints of shortness of  breath and fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week back, then he developed  • shortness of breath on exertion, since 1 week. • high-grade fever since 1 week, more during night, relieved on medication and relapses back. • decreased urine output since 1 week • dragging type of pain in both legs and hands, associated with generalised weakness. • orthopnea and PND present since 4 days HISTORY OF PAST ILLNESS No history of DM, HTN, TB, Epilepsy, leprosy, CAD, CVN, Asthma or any other chronic illness. No history of previous transfusion.  PERSONAL HISTORY Built : Weakly nourished Appetite : Decreased since 1 week Diet : mixed Sleep : Decreased since 1 week  Bladder movements:  Anuria since 1 day associated with burning micturition. Bowel movements: regular Addictions : toddy consumer in summer season. Regu...

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 cons...

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 report...