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Showing posts from July, 2022

55 year old female with dizziness and vomitings

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 A 55 year old female, homemaker from AP Lingotam came to the casuality with  C/o Dizziness since 3 hours prior to admission HOPI Patient was apparently asymptomatic 1 day ago then she felt dizzy which was associated with tension in the neck and headache. She was taken to a hospital after fainting where blood pressure was recorded to be 170/90 mmHg so was given one tablet of Propranolol half hour following which patient had 3 episodes of non projectile vomitings for which she was given Ondansetron but no improvement was seen. Patient was then brought to our hospital and was semi conscious at the time of admission.  Past history No similar complaints in the past. Suffering with Joint pains since 15 years and is on medication.  Not a k/c/o Diabetes mellitus, Hypertension, Asthma, Tuberculosis, Epilepsy, CAD.  Menstrual history: Attained menopause 8 years back.  Personal history Diet - Mixed Appetite- Normal Sleep - Adequate Bowel and bladder movements - Regular Addictions - None Family h

A 23 year old male with fever

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 A 23 year old man from Hyderabad Car mechanic by occupation came to the OPD with C/o Fever for 2 days prior to admission History of presenting illness Patient was apparently asymptomatic 5 days back then he developed fever on Friday night that is on 15th of July 2022 which was associated with chills and fatigue.Next day morning he took an antipyretic(dolo 650mg) which was not helpful in subsiding the fever.  A day later he visited an RMP doctor as the fever did not subside and was treated symptomatically. He was asked to go to a better hospital to get diagnosed and treated as the fever didn't seem to come down. Fever lasted for only two days according to the patient.  No spikes of fever since admission H/o fatigue associated with fever No h/o headache, muscle pains, joint pains,rash. No h/o cough, abdominal pain, dysuria, diarrhoea, nausea, vomitings Habitat- Patient informs that his habitat contains a lot of mosquitoes.  Past history No similar complaints inthe past N/k/c/o Diabe