CASE DISCUSSION

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...

Unit 6 admission  A 33 yr old female,works as a sister(labour room) in our hospital, came to casualty with  COMPLAINTS OF  1.Generalised body pains since 3 days 2. Fever since 3 days HISTORY OF PRESENT ILLNESS  1)BODY PAINS:  started at 6 pm after going home which was sudden in onset, started initially in loin region (bilateral) followed by head ache diffuse and later generalised body pains which was dragging type and aggravated by walking  2) fever  Initiated after half an hr of bodypains, sudden In onset and continuos, relieved by taking medications and the fever developed again after 2 hours of taking medication which was associated with rigors and sweating. Sweating present after taking medication PAST HISTORY  N/K/C/O DM,HTN,ASTHMA,EPILEPSY, CVA,CAD - Hysterotomy done ( APRIL 20 OF 2021) - H/O Right side single renal calculi of 4mm present, consulted urologist in our hospital & took medications for 2 wks & drank adequate amount of wat...

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 w...

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 ...

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...