UNIT 3 ADMISSION A 28y old male came to the opd with chief complaints of fever since 10 to 25 days and SOB since 5 to 6 days. Patient was apparently asymptomatic 15 days back then developed fever which was incidious in onset and non progressive. It was associated with chills and dry cough. Not associated with cold. C/O SOB since 5 to 6 days that progressed from grade 2 to grade 3. Not associated with pedel edema and loose stools. No h/o bleeding manifestations, bleeding gums, malena, hemoptysis, hemetemesis. PAST HISTORY: No h/o similar complaints of in the past. No h/o DM, HTN, CAD, Asthma, TB. PERSONAL HISTORY : Patient has a mixed diet with decreased appetite and adequate sleep. Patient has constipation. Normal bladder filling and micturition. No addictions. No significant family history. GENERAL EXAMNATION: Patients is c/c/c. No pallor, icterus, cyanosis, clubbing, Vital2s lymphadenopathy, pedel edema. VITALS: temp: 101 F PR: 98 bump nd RR: 18 cpm. BP: 90/70 mmhg. SPO2: 96% at R
Unit 3 admission http://sriramkk2k.blogspot.com/2021/08/case-of-74-year-old-male.html ICU : 1st bed A 74 yr old male, retired RTC driver(11 yrs back), resident of narketpally came to the casuality with Complaints of 1.Fever since 3 days 2.Decreased urineoutput since 2 days 3.SOB GRADE : 3 since 1 day HOPI 1.FEVER: - Sudden in onset, associated with chills, incresed during nights & relieved on medications.fever spikes increased after connecting urinebag before 2 days 2.DECREASED URINE OUTPUT: - Normal frequency was 4 times/day & 3 times/night.since 2 days from tuesday morning, output decreased.they went to local RMP at night 10pm of tuesday & urine bag was connected by local RMP. 3.SOB GRADE : 3 - Present while walking & at rest also PAST HISTORY: - Pt was apparently asymptomatic 2 months back, was admitted & diagnosed in our hospital with lt facial nerve palsy, peripheral neuropathy(? ATT INDUCED), denovo HTN (? post pulmo tb),Spondyloarthropathy with radiculopa