19 Lavanya

A 65yr old male patient masion by occupation resident of nalgonda came to old with  Chief complaints  of -fever-4 days  -pain abdomen -4 days  -decreased urine output -6 days -burning micturition-6 days  History of present illness : Patient was apparently asymptomatic 1 week ago then he developed decreased urine output since 6 days which is insidious in onset and gradually progressive,he also developed abdominal pain in right side of the abdomen since 4 days which is insidious in onset gradually progressive, episodic and sharp type radiating from right upper quadrant to epigastric region which is associated with back pain ,no aggravating factora but relieved on medication. History of fever since 4 days which is low grade and intermittent. H/o burning micturition present Constipation since 6 months  History of past illness:  N/k/c/o diabetes, hypertension,asthma,tuberculosis ,epilepsy No past medical history Personal history: Diet : mixed Appetite:normal Sleep : adequate Bowel and bladd

A 50 yr old female who is a agricultural labourer came to OPD with complaints of bilateral pedal edema, shortness of breath and chest pain. Cheif complaints Chest pain Shortness of breath Bilateral pedal edema History of present illness She was apparently asymptomatic 4 days back and developed pain in the chest which was non radiating type and not associated with sweating and palpitations Bilateral pedal edema( pitting type upto knees) No aggregating and relieving factors History of past illness She was known case of hypertension and on irregular medication . No h/o diabetes mellitus,TB, epilepsy,asthma. Hysterectomy 15 yrs back  Personal history Married Diet : mixed Appetite: normal Bowels : regular Micturition is abnormal increased frequency of urine. No known allergies Family history No f/ h/o diabetes, hypertension,TB ,asthma, epilepsy. General examination No palor No cyanosis No icterus No lymphadenopathy No clubbing No malnutrition  Bilateral pedal edema is present Systemic exam

A female patient aged 74 yrs came to the OPD with chief complaints of fever ,shortness of breath ,and she had altered sensorium. Chief complaints Fever ( 7 days) Shortness of breath(4 days ) Altered sensorium ( 2-3 days) History of present illness She was admitted to hospital by her family due to loss of consciousness,fever,loss of speech and altered sensorium. History of past illness She was diagnosed with heart disease and renal failure  She had pedal edema which is of pitting type  N/k/c/o diabetes mellitus, hypertension,TB, epilepsy,no previous surgeries. She is a known case of asthma using inhalers ( duration not known) Personal history She is married Diet : mixed Bowel and bladder movements: normal  Appetite: normal No allergies No addictions Drug history: used pain killers for pain and swelling of lower limbs General examination  Palor No cyanosis No icterus No clubbing of fingers Pedal edema present ( pitting type )  Moderately built No Lymphadenopathy Vitals  Temperature: af

GENERAL MEDICINE CASE PRESENTATION  CASE SCENARIO  28,JUNE,2022 Pt aged 28 years female house wife came to opd with chief complaints of loose stools since 20 days associated with abdominal pain and generalised weakness HISTORY OF PRESENT ILLNESS  She was asymptomatic 30 days back then when  stools started which is less in quantity assosiated with abdominal pain that releaved after passing stools not associated with any blood in stools associated with generalised weakness  HISTORY OF PAST ILLNESS  She visted 3 hospitals for same reason in past 15 days   No H/o DM, HTN, Asthma , epilepsy, TB .  she had 3 c section before . TREATMENT HISTORY  NO history of previous medication  PERSONAL HISTORY  Married  Mixed diet  Loss of appetite  Irregular bowel habit  Regular mensus  FAMILY HISTORY  NO H/O :-HTN,DM ,EPILEPSY ,TB  GENERAL EXAMINATION  NO pallor      No   .icterus         No .cynosis       No  .lymphadenopathy         No.clubbing  PHYSICAL EXAMINATION-: .temperature-:afibrile  .pulse ra

Lavanya Roll no .19 A 28 yr female patient resident of Surat came to OPD with chief complaints of left side flank pain, shortness of breath and dysuria. Cheif complaint Left side flank pain Dyspnoea One episode of hematuria and dysuria History of present illness Patient was apparently asymptomatic 15yrs ( i.e in 2007 ) she had complaints of loss of weight and appetite for which she was diagnosed as pulmonary tuberculosis and on started on anti tubercular therapy .But she discontinued the treatment and she was kept of 8 months ATT.and in 2020 she developed low back ache for which she was diagnosed as renal calculi.now she came to our hospital with c/o left flank pain , dyspnoea grade 2,one episode of hematuria. History of past illness Hematuria,k/c/o tuberculosis in childhood No h/o of diabetes , hypertension, epilepsy and no previous surgeries. Personal history Married Appetite:normal  Diet : mixed  Bowels: irregular  Micturition:normal  Non alcoholic non smoker and no drug allergies F