CHERUKUPALLI PAVAN ROLL NO 27

  45years old female came to casuality with  Chief complaints: Bilateral Swelling in lower limbs  Pain in abdomen  History of presenting illness : Patient was apparently asymptomatic 20days back later she developed swelling in limbs,right side is more compare to left side in the bilateral lower limbs it is insidious in onset gradually progressive in nature associated with pain while walking,  10 days back she developed pain in the right hypochondrium which was insidious in onset gradually progressive increase in sitting position decrease in laying position she also developed pain in right shoulder  Daily routine  :    Patient wakes around 6am and completed her daily routines completes.comoletes her tiffin and goes to work at around 9am.She returns from work  around 6 pm in evening and completed dinner by 9:30pm. Past history : Not a known case of diabetes, hypertension,asthma ,TB , epilepsy   Treatment history : No significant treat...

61years old male patient resident of suryapet farmer by occupation came to casualty Chief complaints :   Pain in bilateral wrist and bilateral knee, bilateral ankle joint since 1year   History of present illness: Patient was apparently asymptomatic 7yrs back then he visited local hospital for excessive urine output he was diagnosed as diabetic at local hospital since then he was on medication and was on regular checkup monthly with dietary practices . He developed pain in b/l wrist ,knee ,ankle joint since 1year it was sudden in onset gradually progressive in nature .Type of pain is pricking type . He visited local hospital he was given medicine for that from he taken medicine regularly form past 1week pain is increasing . He developed decrease vision in left eye from past 3months .He admitted in the local hospital and it is treated by surgery. H/o SOB 2months back which was relived by injection by local doctor last episode was 10days back . Each episode last for 10 min. He qu...

  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 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 *...