PRASHANTH REDDY ANUGU

A 50 yr old patient who is a resident of nalgonda and labourer by occupation came with chief complaints of abdominal pain since 4 days,altered sensorium since 4days and shortness of breath since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic  1 year back.Then his wife noticed that he was becoming thin.So they went to a general physician where he was diagnosed with diabetes mellitus for  he was started on oral hypoglycemic drugs. After 10 months he had fever for 3 weeks with cough associated with sputum, for which he consulted a doctor and was diagnosed with tuberculosis.He was started on anti tubercular drugs for a period of 6 months.He is an occasional binge drinker(once in 2-3 months).He was asked to quit drinking till the completion of ATT regimen.He stopped drinking alcohol for 2 months.However 7 days back he had a binge drink without taking any food following which he developed abdominal pain which was insidious in onset,diffuse all over the abdome...

27 year old female came with chief complaints of pain over the both the wrists and ankle of both legs since 1 & 1/2 years History of Presenting illness Patient was apparently asymptomatic 1 &1/2 yrs back .  Way back in March 2019   : After 6 hours of sleep in the night she experianced pain , swelling , mild rise of temperature with restriction of movement of left elbow joint (slight flexion of elbow joint) which lasted for one and half year September 2020: she went for physiotherapy for the right elbow joint pain  Then 3-4 days later she started experiencing pain in the right ankle joint with pain, redness ,swelling over the joint . Pain was progressing and radiating from lateral to medial side and then to plantar aspect of foot  Not relieved on medication even after 15 days Feb 2021 : She started experiencing pain over right wrist joint  July 2021 : She started having pain of left wrist and left ankle as well  Pattern of involvement of the joints...

47 yrs old female patient from Nakrikal who is a daily wage labourer came with chief complaints of  Fever for 10 days History of Presenting illness Patient is apparently asymptomatic 10 days back .Then she developed fever which was incidious in onset ,with two spikes in a day one in the morning and other at night Not getting reduced with the routine over the counter medications It was associated with headache and joint pains Not associated with vomitings,cough,rash Not associated with any swelling of legs Past history:  H/o similar complaints in the past.  Hypertension,Diabetes,malignancy, epilepsy,TB and other chronic  illness in the past.  Family history:  H/o similar complaints in the family.  hypertension,Diabetes,malignancy ,epilepsy ,TB and other chronic  illness in the past Personal history : Diet Mixed Appetite Decreased Sleep Disturbed since the fever started Bowel and bladder habits   Regular Substance abuse  Occasional To...

    Patient particulars Age    65yrs Gender  Male Address Pochampally Occupation Shepherd Date of admission 5/11/2021 Date of examination  6/11/2021 Chief/presenting complaints :  Pain abdomen since 1 month Distention of abdomen since 1 month History of presenting complaints/illness : Pain abdomen : Distention of abdomen : Onset- insidious Duration -1 month Progression -gradual  No Aggravating factor& Reliving factors  Associated pain abdomen  No Yellowish Discolouration of skin and eyes  No Mass palpable per abdomen  Past history : No Similar complaints in the past.  No h/o Hypertension ,Diabetes ,malignancy,epilepsy ,TB and other chronic illness in the past Deaf and dumb by birth Past surgeries and medical interventions in the past.  Family history No Similar complaints in the family. No h/o Hypertension ,Diabetes , malignancy,epilepsy ,TB and other chronic  illness in the family Persona...