Gen Medicine Case Study

 34 YEAR  OLD MALE MASON BY OCCUPATION CAME TO THE OPD WITH  C/O Blurring of vision RE greater than LE since 3 yrs not associated with headache ,nausea , vomiting Patient was apparently assymptomatic 3 yrs back ,while he was doing his work complained of giddiness and fell( black outs)non postural,not associated with nausea, vomitings,vertigo,tinnitus,earfull ness ,he was taken to a local hospital and was diagnosed with HIGH BLOOD PRESSURE  ( used medication , unknown) for over 2  1/2 yrs  C/O slurring of speech since 1 year ( progressive)  C/O body pains since 1 year  H/O giddiness 1 week back taken to local hospital ,was on medication ( unknown)  No C/O chest pain , palpitations, shortness of breath ,pedal edema  K/C/O HTN since 3 yrs (on past atenolol 50mg ,nicardia 10 mg,telma 40 mg) Not a K/C/O DM,ASTHMA, EPILEPSY,TB He is alcoholic (90ml /day)and smoker ( 2 per day)since 10 yrs  No significant family history  Vitals on admission: BP: 270/140 mm hg   given Nicardia 20 MG and measur

28yrs old female farmer  by occupation came to gm OPD with  c/o  fever since 4 days with  retro-orbital pain C/o headache ( diffuse pain ) ; c/o  nausea since 3 days Bodyaches since 3 days C/O swellling on the neck  C/O SOB grade 2 with palpitations HOPI: patient was apparently asymtommatic 14 days back then she developed fever after taking her COVID VACCINE associated with vomitings for 2 days ( 4-5 episodes/day ) visited RMP took medications and fever subsided C/o fever with retroorbital pain since 3 days with diffuse head ache type associted with nausea  Fever highgrade , continuous fever , nocturnal variation present , associted chills and rigors . Vomitings ( 2 episodes ) on 1st day of fever ( non bilious , non projectile ) No episodes of vomitings next two days ( only nausea feeling ) No cold , cough ,loose stools C/o hair loss since 3 days Weight loss since 3 years No cold /heat intolerance  Past history : 5 months back she c/o giddiness and she visited RMP  where she was diagno

 Unit IV admission Amc bed 3 DR.HUDA(INTERN) DR.PAWAN(INTERN) DR.SHUBHASRI(INTERN) DR.DURGA(INTERN) DR.SHASHIKALA (PG-2) DR. NIKITA(PG-3) DR. USHA(PG-3) DR. HAREEN(SR) DR. ARJUN (AP) DR. RAKESH BISWAS (HOD) 35 yr old woman presented to the Casuality at 6pm with c/o Fever since 1 week Cough since 1 week Vomiting since morning  35yrs old unmarried woman born out of a non consanguineous marriage , first in birth order.  Studied till 1 st grade, one day she developed sudden onset of fever at the age of 6 yrs which is followed by vomiting on the next day and finally seizures on the following day, where she developed hemiparesis of left upper limb and lower limb and she was diagnosed with ? polio ( she has not taken any vaccination ),  Then she was taken to thirupathi hospital for surgery of left hand near the medial side of elbow joint ( ? Elbow stiffness ) She was on oral medication for 2 yrs , over time she regained power in Lt UL and LL .  She does her own  household chores and takes car

A 49 year old female resident of Nalgonda came in to casualty with chief complaints of  c/o fever since 10 days,  c/o cough since 10 days,  c/o SOB since 2-3 days, c/o decreased urine output since yesterday.  Patient was apparently asymptomatic 10 days back then she developed fever which is of incidious in onset, intermittent and is of low grade fever, subsided on taking medication. C/O cough since 10 days which is associated with sputum and scanty in amount. C/O shortness of breath which is of grade 4 ( at the time of presentation) and worsening. It has progressed from sob on excertion 5 to 6m months back. Patient has a h/o pedal edema since 5 to 6 months which is associated facial puffiness. C/O of decreased urine output since yesterday night. H/o covid vaccination 8 days back. PAST HISTORY: k/c/o HTN since 1 year and is on Tab. TELMA-H (40/12.5 MG) - but is Irregular in taking medications. -? k/c/o kidney disease 5-6 years back but not on any medications. Not history of DM, CAD, ast