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A 48 YR OLD MALE

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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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A 22 YR OLD MALE

Unit 3 admission  A 22yr old  male,resident of Palleria village, atmakur mandal case to OPD with  COMPLAINTS OF: 1.Weakness of Bilateral lower limbs since 1week causing unable to walk 2. Fever 5 days back lasted for 3 days HOPI : A 22 yr male intellectually disable confined to running errands at home was brought to OPD  1.WEAKNESS: - Sudden in onset, gradually progressive intially in B/L lower limbs and then progressed to upper limbs - Weakness is more in distal portion of limbs compared to proximal region - Pt is able to roll on bed - Get up from bed from supine position  - Able to perceive the sensation of clothes  - Slippage of foot absent while wearing slippers  - No bowel & bladder incontinence  10 days back patient had attended  a ceremony at relative place & Taken food & drank 1 lit of toddy.after which later in the evening, he developed 2. FEVER : - Low grade,not associated with chills & rigors - Developed cold along with fever - Got tested positive for widal te
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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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