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A 48 YR OLD MALE

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A CASE OF 30YR FEMALE

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
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A 45 YR OLD FEMALE

UNIT 6 ADMISSION  A 45 old female came to casualty with  COMPLAINTS OF  1.Fever since 4 days 2.Vomitings since 4 days 3.Loose stools since 4 days Patient was apparently asymptomatic 4 days back 1.FEVER Was low grade,intermittent not associated with chills & rigors 2.VOMITINGS  -5 to 6 episodes/day,non bilious non projectile,food/water as content  3.LOOSE STOOLS  -2 to 3/day,watery in consistency,no blood/mucous in stools associated with abdominal discomfort  - pt had h/o intermittent high colored urine(she described as red) -SOB intermittently since 1 month associated with orthopnea PAST HISTORY  Pt was apparently asymptomatic 3 yrs back,then pt had  - Pain in B/L knee - 3 yrs causing unable to walk properly for which she used to take NSAIDS for severe pain  - 2 MONTHS BACK: She slipped from staircase,had fracture of Rt tibia & underwent surgery 1 month back in a hospital in nalgonda & also got diagnosed to be diabetic .since then GRBS : 150MG/dl  PERSONAL HISTORY  Diet - M
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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 1.Pedal edema 2.As
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