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 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 adm...
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Vira Pyrexia with Thrombocytopenia

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 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  h...
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