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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 48 YEAR OLD MALE

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...
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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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