CASE DISCUSSION

Unit 6 admission A 30 yr old female, resident of  miryalguda & farmer by occupation. came to casualty with  COMPLAINTS OF  1. Fever since 3 days 2. Vomitings since 3 days 3. Head ache since 3 days 4. Legs pain since 3 days 5. Stomach pain since 3 days HISTORY OF PRESENT ILLNESS: 1.FEVER : - Low grade, intermittent associated with chills & rigors, increased during nights & relieved with medications  2.VOMITINGS : - 3 - 4 episodes/ day - occurs after food intake,non projectile,non bilious, food as content 3.HEAD ACHE : - Gradual onset,pricking type on both frontal region,increased after vomitings  4.LEGS PAIN : - Bilateral legs pain till hip,gradual onset,dragging type, associated & increased with fever spikes 5. STOMACH PAIN : - Diffuse type, gradual onset & increased after vomitings NEGATIVE HISTORY: - no h/o loose stools,burning mictiration PAST HISTORY: - Got admitted in a local hospital near miryalguda 2 days back for fever complaints & shifted to our hospita

Unit 6 admission  A 19 yr old female, student by occupation & resident of Nagarjun sagar .came to casualty with  COMPLAINTS OF  1.Fever since 3 days 2.Vomitings 5 episodes since 1 day 3.Stomach pain since 1 day 4.Loose stools 2 episodes since 1 day 5. Cough with expectorantion since 1 day HISTORY OF PRESENT ILLNESS  : 1.FEVER - 3 days back she had -  Insidious onset of fever, low grade, intermittent type, Relieved on taking medications.subsided with in a day - Not associated with chills and Rigors. 2.VOMITINGS: - 5 episodes/ day since 1 day - non projectile,non bilious, contain food particles initially & later watery 3.STOMACH PAIN : - Diffuse type,increased after vomiting episode 4.LOOSE STOOLS : - 2 episodes/day - small inquantity - Not associated with pain abdomen, bloody stools -ve,Tenesmus -ve 5.COUGH WITH EXPECTORATION : - expectoration - small in quantity, light green color  - cough is not associated with diurnal variations,cough is more in rt lateral position  - not ass

Unit 6 admission  A 48 yr old male, farmer by occupation & resident of Nakrekal.came to casualty with CHEIF COMPLAINTS: 1.Fever since 1wk 2.Swelling in the right lower limb since 4 days 3.Pain over the swelling since 2 days 4.Loose stools  since 4 days (4 episodes/day) HISTORY OF PRESENT ILLNESS  : pt was apparently asymptomatic 1 wk back then, he developed  1. FEVER : - low grade, intermittent type, associated  with chills & rigors & relieved by medications. - pt is k/c/o Rt lower limb filariasis since 20 yrs - Due to filariasis, pt used to have fever spikes for every 6 months since 20 yrs. for which he used to take medications & fever relieved - Recently After 3 yrs, he again had a bout of fever spikes since 1 wk.for which he got admitted to a local hospital in nakrekal and took medications. & also found decrease of platelet count 2. SWELLING IN THE RIGHT  LOWER LIMB :  - pt had trauma over rt lower limb 4 dys back, after which pt noticed s

UNIT 3 ADMISSION  A 48 yr old male,came to casualty with  CHIEF COMPLAINTS OF : : Abdominal distention & : Umbilical hernia with discharging pus since 1day HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 1 day back.then he developed 1.Abdominal distension extending to xiphisternum.because of increased distension & itching sensation, patient scratched umbilical hernia.for which tearing was there in hernia & discharge of ascitic fluid present. 2. Ascitic fluid leak from the umbilical sinus - 1 day PAST HISTORY:  Presence of similar complaints in past, for which  he got admitted on 23rd june 2021 https://shriyaayuthumedicinerollno13.blogspot.com/2021/06/chronic-alcoholic-liver-disease-with.html?m=1 Patient is a chronic alcoholic since 20 yrs -4 yrs back, had complaints of 1.Ascites 2.Pedal edema 3.NEGATIVE HISTORY: No decreased urine output, No SOB -2 yrs back, increased symptoms of 1.Pedal edema 2.As