29 Janani Chimaladinne

 

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...

Ch Janani Roll no. 29 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 Patient was apparently asymptomatic 10 days back and She was admitted to hospital by her family due to loss of consciousness,fever,loss of speech and altered sensorium. History of past illness N/k/c/o diabetes mellitus,CAD and CVA 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   T...

Ch Janani Roll no .29 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 an...