Sanjay

  CHIEF COMPLAINTS   44 year old male came to casualty with chief complaints of fever with chills on and off high grade associated with chills and rigor  HOPI  patient was apparently asymptomatic 12 years back had history of intake of alcohol initially 90 ml   gradually progress to amount of 200 ml  since 2 years patient was on alcohol 200 ml , quantity increased to daily intake  of with no  or minimal food intake H/O agressive behaviour  tremors +  decreased appetite  yellowish discoloration of sclera present  vomiting of 1 episode , patient was admitted in outside hospital and treated as alcoholic liver disease With TB - 23.7 gradually reduced to 2.5   pain abdomen +  passing stools (1-2 ) episodes/day  No loose stools , vomitings,malena ,blood in stools  Past history  N/K/C/O - DM, ASTHMA,TB , EPILEPSY Personal history  married  appetite - lost  bowel - regular...

80 yr old came to casualty with chief complaints of SOB since 4 days  HOPI  PATIENT WAS APPARENTLY ASYMPTOMATIC 4 YEARS BACK THEN HE HAD CHEST PAIN  ECG FINDINGS SHOW ANTERIOR WALL MI AND RIGHT BUNDLE BRANCH BLOCK  CABG AND STUNTING WAS DONE IN 2017  H/O WEIGHT LOSS SINCE 4 MONTHS  H/O LOSS OF APPETITE SINCE 4 MONTHS  NO H/O RENAL CALCULI  SINCE THEN PATIENT WAS ON TAB .ECOSPORIN AV 70/20 PO/OD  TAB.MET XL 25 MG PO/OD  SINCE 3 MONTHS BURNING MICTURITION , POLYURIA, INCREASED URINARY FREQUENCY  ?BOWEL AND BLADDER INCONTINENCE  GENERALIZED WEAKNESS SINCE 3 MONTHS  SOB SINCE 4 DAYS  INITIALLY GRADE 3 PROGRESSED TO GRADE 4  SINCE LAST NIGHT ASSOCIATED WITH ORTHOPNEA  COUGH ASSOCIATED WITH SPUTUM ,CHILLS AND RIGOR  NO CHEST PAIN, SWEATING,SYNCOPAL ATTACK , PALPITATIONS,GIDDINESS  H/O SIMILAR COMPLAINTS IN THE PAST  H/O BURNING MICTURITION 4 MONTHS BACK  TREATED CONSER...

Chief complaints  C/o SOB since 1 week  C/o swelling in the legs  C/o decreased urine output  HOPI A 50 yr old Farmer doing his regular work, of driving tractor till one week ago when he had sob with sweating, taken to a doctor outside ,where his grbs was recorded low ,was revived with eating a chocolate only, but he continued to take his oha even after that,rft showed increased creatinine,since 3 days his symptoms aggrevated and was brought here for further management ,2 sessions of dialysis  1 st -19/2/22 from 10 am to 2 pm , 2 nd - 20/2/22 were done   PAST HISTORY  known case of DM since 3 years on medication  HTN since 6 months (giddiness first symptom ) NO H/o asthma ;TB;EPILEPSY PERSONAL HISTORY  Marital status - married  Occupation - Farmer  Appetite - Normal  Diet - Decreased appetite  Bowel and bladder movements - regular Addictions -  Chronic alcoholic since 20 years daily 180 ml. Chronic sm...

 Chief complaints - A 55 year old female presented to casualty with c/o of anuria since yesterday night  HOPI- PATIENT was apparently asymptotic 1 year ago , when her sister died she cried a lot , felt weak and was taken hospital , routine investigations were done and was told she had kidney problem and was referred to kamineni I/v/o dialysis and was admitted for 2 sessions of dialysis .Urology opinion was taken for ?obstructive uropathy , ?kidney operation was done ,used medication for 3 months and the symptoms were relieved  H/o nsaid use for 1year h/o pedal edema and facial puffiness 6 months ago . Sob not present  Comorbities - hypertensive since 6 months  Headache (frontal since  2 months ) H/o fever since 4 days associated with chills  H/o anuria since 1 day  H/o vomitings 1 episode (non projectile,non bilious ),food as contents  No h/o hematuria , frothy urine  No h/o cold , cough , loose stools , burning micturition  Family ...