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A 48 YR OLD MALE

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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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50 year old female

A 50 YEAR OLD FEMALE  A 50 year old female came to the OPD with   CHIEF COMPLAINTS-  Pain   Stiffness in several joints since three months HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 10 years ago then she developed a dull aching type of pain and stiffness in her metacarpophalangeal joints in her right hand associated with limitation of movements at the joint . Then within 6 months of the onset of the disease, it has progressed to involve other joints of the right hand,left hand as well as wrist and elbow joint   Then within 4 years of onset she started feeling pain in the joints of feet and ankle   Since 3 months the pain  became unbearable limiting her activities . PAIN  was insidious in onset,slowly progressive,dull aching type of pain,non radiating,associated with swelling ,stiffness and limitation of movements in the involved joint.       STIFFNESS and PAIN was more in the first one hour of waking up ...
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