93 HARIKA KUNE

45yr old male, Tractor driver ,came to the OPD with cheif complaints of  LEFT LOWER LIMB WEAKNESS since yesterday.  Weakness only from knee to foot. Acute in onset. No any progression in weakness. No H/O vomitings, fever, diarrhoea NO H/O slurring of speech                Guidiness                Normal bowel and bladder movements.  No any sensory symptoms, tingling, numbness.            Yesterday night at 12:00AM  , he had his dinner , walked into his room and slept ,all by himself. Later after that he wanted to go to washroom, he was NOT ABLE TO LIFT HIS LEFT LOWER LIMB ,if he tries to stand, he was falling off. PTCA 3YRS BACK NOT A K/C/O DM,HTN, ASTHMA, TB, EPILEPSY. NO significant family history No significant drug history. PERSONAL HISTORY: Takes mixed diet Appetite is normal Regular bowel and bladder movements Adequate sleep Alcohol, smoking occasionall...

45YR old male, real-estate business man, came to OPD with cheif complaints of 1.VOMITINGS , 2-3 episodes per day since         1week. 2. HEMETEMESIS , 2episodes , 10-15ml , 1week back. 3. MELENA since 2days. No H/O fever, pain abdomen, diarrhoea. Not a K/C/O DM, ASTHMA,TB. PAST HISTORY: 2yrs back, when he was at home around  11-12pm , he had INVOLUNTARY MOVEMENTS OF LEFT UL,LL    DROOLING+    DEVIATION OF MOUTH+    ROLLING OF EYE BALLS + then he fell down. INVOLUNTARY MOVEMENTS LASTED FOR ABOUT 5MIN. He was in POST ICTERAL CONFUSION STATE FOR ABOUT HALF HOUR. Then he was taken to hospital, where his BP WAS HIGH. started on ANTI HYPERTENSIVES and  ANTI EPILEPTICS. ANTI HYPERTENSIVE - NOT DOCUMENTED. ANTI EPILEPTICS:     LEVIPIL 500MG /BD He continued to use these medications for almost one and half yr , and stopped using anti epileptic medication 1mon back. Now these  acute complaints since 1week. LAST BINGE ...

1/11/21 AMC admission bed 4 65 yr old female , house wife came to casualty with cheif complaints of 1. FEVER SINCE 1WEEK 2. FACIAL PUFFINESS SINCE 1DAY 3. PAIN ABDOMEN SINCE 1DAY 4. SOB SINCE 1DAY. HOPI:. patient was apparently asymptomatic 1week back, then she developed fever ,high grade , subsided with medication. not associated with cough, loose stools, vomitings. Now developed SOB and facial puffiness since 1day. CREATININE= 6.0 mg/dl, on that day. NOT A K/C/O DM,HTN, ASTHMA, TB, EPILEPSY. No significant family history No significant drug history. PERSONAL HISTORY: takes mixed diet Appetite-normal Regular bowel and bladder movements No known allergies. No addictions. O/E: pt is c/c/c PALLOR+ No icterus,cyanosis,clubbing, lymphadenopathy, edema. VITALS: Afebrile temperature PR: 90BPM BP:110/70MMHG RR:20CPM SPO2:98% CVS: S1S2+ RS: Dyspnoea+ No wheeze Normal vesicular breath sounds CREPTS+ IN  B/L IAA P/A: NAD CNS:NAD. INVESTIGATIONS: HEMOGRAM: HB:8.0 TC:6700 PLT:1.50 RBS:93 MG/DL...

48yr old female , daily wage labourer, stopped working now,  has two male children, came to casualty with cheif complaints of 1. FEVER ASSOCIATED WITH CHILLS AND RIGORS since 3days. Associated with JAUNDICE since 3days. No H/O pain abdomen, pedal edema, vomitings.  SPLENOMEGALY+. 3yrs back , came with cheif complaint of  MASS PER ABDOMEN- MASSIVE SPLENOMEGALY. NOT A K/C/O DM,HTN,ASTHMA, TB, EPILEPSY. No significant drug history. No significant family history. PERSONAL HISTORY: Takes mixed diet. Normal appetite Regular bowel and bladder movements No known allergies. No addictions. O/E: Pt is c/c/c PALLOR: + ICTERUS:+ NO cyanosis, clubbing, lymphadenopathy, edema. No malnutrition. No dehydration. VITALS: Afebrile temperature PR: 100BPM RR:18CPM BP:100/80MMHG SPO2:100% GRBS:. 86 MG/DL. CVS: S1S2+ RS: BAE+ PER ABDOMEN:   SPLENOMEGALY+   SPLEEN IS PALPABLE. BS+ CNS: NAD. INVESTIGATIONS: HEMOGRAM: HB: 9.1 TLC:1000 N:50% L:50% PLT: 50,000 RBS: 149 MG/DL BLOOD UREA: 17M...

, HIV REACTIVE. 45 yr old male ,farmer by occupation came to the casualty with the cheif complaints of 1.ECHYMOTIC RASH since 1week over     LEFT AND RIGHT THIGH , RIGHT FOREARM. 2. LEG PAINS since 2weeks. HOPI: Patient was apparently asymptomatic 2weeks back, then he developed bilateral leg pains ,not associated with fever, relieved on local rmp medication . 1week back he developed RASH in RIGHT THIGH FIRST, followed by LEFT THIGH AND RIGHT FOREARM, following which he went to hospital and incidentally found to have  THROMBOCYTOPENIA. NOT  a  k/c/o DM, HTN, asthma, TB, epilepsy. No significant drug history. No significant family history. PERSONAL HISTORY: He takes mixed diet ,  Appetite- normal Regular bowel and bladder movements. TAKES REGULAR ALCOHOL. O/E: pt is c/c/c. No pallor, icterus, cyanosis, clubbing, lymphadenopathy,edema. No malnutrition. No dehydration. VITALS: Afebrile temperature PR: 80bpm. BP: 160/110MMHG RR:18CPM SPO2: 98% CVS: S1S2+ CNS: NA...

 25/10/21.  Currently in AMC. Today's OPD admission. A 28 year old woman, housewife by occupation presented to the opd with the complaints of Abdominal distension since 5 days Patient was born out of a second degree consanguineous marriage. Her father was also born out of a second degree consanguineous marriage. She has 2 elder sisters.  At 4 to 5 years of age she had jaundice for which she was given ayurvedic medications. She had recurrent episodes of jaundice for 3 years for which she kept consuming Ayurveda medications. She also experienced high coloured urine back then. She studied till her inter second year. She attained menarche at the age of 15 years. She gets regular menstrual cycles every 30 days lasting for 3 days. She changes around 2 to 3 pads per day. She got married in November 2020. It was a second degree consanguineous marriage.  In January 2021 - she experienced increased frequency of urine for which the patient visited a hospital where her RBS was ...