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A 19 YR OLD FEMALE

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 r...
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A 28 YR OLD MALE

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. ...
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A 73 yr old male

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),Spondyloarthropa...
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