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A 55 year old patient with giddiness and vomitings

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      A 55 year-old female patient ,who is a homemaker by occupation and resident of AP.Lingotam presented with ,   C/O giddiness and vomitings at yesterday after 4pm. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic yesterday morning (27-07-22),and then later in the evening ,while eating she had an episode of vomiting and then she felt giddy and lost her consciousness ,followed by 2 more episodes of vomitings and slurring of speech.Immediately she was taken to the local hospital and then her blood pressure was 170/90 .She was referred here .The patient was brought here by 7pm. Not associated with fever, PAST HISTORY : No similar complaints in the past. No h/oDM,HTN,ASTHMA,EPILEPSY,CAD,LEPROSY Patient has joint pains from past 15 years.Pain is of pricking type  PERSONAL HISTORY : Diet : Mixed Appetite : Good Bowel &Bladder : Regular Sleep : Adequate  Addictions :none FAMILY HISTORY : No member of family has similar complaints  MEN...

A 23 year old male with fever

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  July 20, 2022  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 s...

A 70 year old male with altered sensorium,shortness of breath .

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  A 70 year old male ,resident of ramannapet,industrial worker by occupation came to casuality with,  C/O  Altered sensorium since morning 5am and             Shortness of breath since morning 5am. History of presenting illness:          Patient was apparently asymptomatic 20 years back and then he went to regular check up and got diagnosed with Diabetes Mellitus ,he was prescribed oral antihyperglycemic drugs which is continuing till now. 18 years back ,he had a H/O trauma to his little toe of left leg and he developed cellulitis to his little toe .So he went to a hospital and got his left little toe amputated and was covered with skin grafting at that place . 6 years back ,he had a H/O cellulitis to his left lower leg .So he went to a hospital and got fasciotomy in that area ,since then insulin has been started,Mixed insulin (30/70)  35U * 30U 7 months back ,he went for regular check up of diabetes ,...