EMANY MANI CHANDANA ROLL NO. 42

 A 36 year old female, homemaker from Narketpally was presented to the hospital with C/o Shortness of breath since 4 days History of presenting illness Patient was apparently asymptomatic 7 days back then she developed fever with chills and rigor (9th August 2022) which was intermittent, subsided on taking medication but increased within 30-60 mins. Fever was associated with headache and sensation of pins and needles on the left side from head to toe.  She visited a local doctor and was diagnosed to have typhoid for which she was taking medication.  She developed shortness of breath 4 days back(12th August 2022) which was of grade 3. She had 4-5 episodes of vomiting three days back(13th August 2022) which was non projectile, non bilious and contained food particles of immediately previous meal.  Past history H/o of left mastectomy 2 years back on suspicion of malignancy.  H/o Renal calculi 7 years back No h/o Diabetes mellitus, Hypertension, Tuberculosis, Asthma...

Patient is referred from Dermatology department.  A 66 year old male patient from Kakkereni, AP Lingotam, Shepherd by occupation came to the OPD with C/o Multiple painful blisters all ove the body sparing palms and soles.  History of presenting illness Patient was apparently asymptomatic 5 years ago then he started developing itching all over the body suddenly which subsides temporarily on applying Vaseline.  5 days ago he developed a blister on the dorsal surface of the middle distal phalynx of his left hand following which his body started itching and blisters started appearing on his body starting from the periphery spreading to the trunk which were painful. It was associated with fever but cured immediately on taking medication. The blisters are rupturing spontaneously and serosanguinous fluid is oozing out of the ruptured blister.  Past history He had no similar complaints in the past.  K/c/o Diabetes mellitus since 5 years and Hypertension since 3 years an...

 A 65 year old male patient from Gundrampally village, Chityala who used to be a toddy climber by occupation came to the casuality with C/o Shortness of breath since 3 days Associated symptoms are  Weakness in left upper limb and lower limb since 8 days Difficulty in walking since 8 days Involuntary defecation and micturition since 5 days History of presenting illness As explained by the patients' younger son Patient was apparently asymptomatic 10 years back then one day early in the morning while waking up he noticed weakness in the left upper limb and lower limb and couldn't support himself properly.  2 days later he started using Ayurvedic medicine for the weakness, which progressively improved and he got completely alright within a month and got back to his daily routine Patient had a normal life style until 8 days back.  8 days back at 12 am patient woke up to micturate and noticed that he is having a similar weakness in the left upper and lower limb like previo...

 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 - Regul...

 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 pas...

  A 35 year old man Artist by occupation from Choutuppal came to our hospital with  C/o Pain abdomen since 5 days and fever since 3 days History of presenting illness Patient was apparently asymptomatic 15 days ago.  He attended a party where he drank heavily and had heavy food, following morning patient developed Pain abdomen in the right hypochondriac region and epigastric region which was insidious in onset and gradually progressive and was associated with fever so he took some medication which subsided pain and fever for few hours. Pain was sudden, pricking type and was radiating to the back. Due to pain he stopped working.  Couple of days later he visited a hospital at Choutuppal as the pain was increasing where he was told to have Jaundice, Blood and urinary tract infection and was prescribed medication.  Patient had burning micturition and passed red colored urine for 3 days followed by yellow colored urine for about 5 days Patient passed dark colored sto...

A 39 year old male patient resident of Nalgonda, electrician by occupation was presented to the casualty on 9th of November,2021 As informed by his attenders C/o decreased responsiveness, loss of appetite and decreased speech since 2 days before admission and completely couldn't talk on the day of admission.  History of presenting illness   Patient was apparently asymptomatic 8months ago then he developed pain abdomen and intermittent low back pain and dribbling of urine so he visited a physician and was told to have renal stones and meatal stenosis for which he underwent urethral dilatation in July, 2021.  He was incidentally detected to have serum creatinine 5g/dL while visiting a hospital in Nalgonda. His urine output was good and he had no pedal edema or sob. He was told to have renal failure and was on medication since then. He had h/o weight loss and loss of appetite and low grade fever.  He was having intermittent back pain since then After 2 months, in the l...