CHERUKUPALLI PAVAN ROLL NO 27

  A 39year old male patient cooking master by occupation resident of miryalagudam presented with chief complaints of fever since 7days, pain in the abdomen since 7days, burning of urine during passage and increased in frequency of urine passage since 7days History of presenting illness: The patient was apparantely asymptomatic 3 years back then he was diagnosed with type 2 diabetes and he is on medication. Since 1 month on routine checkup he had uncontrolled sugar levels of 300mg.now presented with pain in the abdomen at umblicus and lower abdomen since 7days which is squeezing type of pain and continuous in nature not associated with nausea, vomiting, abdominal distension and loose stools. Burning micturition since 7days, increase in frequency sometimes he pass urine in his clothes before he reached bathroom. Low grade Fever since 7days which is continuous in nature, associated with headache not associated with chills and rigor. Cough since 2 days back. Past History :  he is a known c

 A 38yrs old male patient presented with CHIEF COMPLIANTS of loss of appetite, decreased sleep, sob,loin pain HOPI Patient was apparently asymptomatic 3months back then he developed loss of appetite and decresed sleep.Then he had nausea,fever and decreased urine output from last 10days,for which he visited kims hospital. PAST HISTORY Not a k/c/o HTN,TB,DM,EPILEPSY, ASTHMA. No previous surgeries. TREATMENT HISTORY No relavent treatment history FAMILY HISTORY Not significant PERSONAL HISTORY Mixed Diet  loss of Appetite Bowel movements are once in 8-10days Decreased urine output Sleep decreased   Addictions -Alcohol occassionally No known allergies. GENERAL EXAMINATION Patient was conscious, coherent well oriented to time,place , person.Well built and moderately nourished. PALLOR WAS PRESENT NO CYANOSIS NO ICTERUS NO CLUBBING NO GENERALISED LYMPHADENOPATHY NO EDEMA VITALS:: TEMP AFEBRILE PR 91bpm RR 12cpm BP 130/80mmHg SPO2 98% at room air SYSTEMIC EXAMINATION 1.CVS **S1 ,S2 heard **No