63.P.Likhitha

 August 23,2021    Date of admission:August 20,2021  A 35 year old men presented to the Opd with the complaint of fever since 5days ,loose stools -6episodes ,4days back . HISTORY OF PRESENT ILLNESS :Patient was apparently asymptomatic 5days ago and then he developed fever -low grade intermittent ,relieved on taking medication not a/w chills ,riger .Loose stools -6episodes 4days Ago which subsided now .stools were non watery ,not blood stained .No h/o vomitings ,pain abdomen chest pain ,palpitations,sob ,cough ,cold ,bleeding manifestations ,bleeding gums ,purpura . HISTORY OF PAST ILLNESS : Not a k/c/o DM/HTN Br asthma /TB/EPILEPSY  Plt count : 19th -64k 20th -11am -30k              6pm -25k 21st-12k  PERSONAL HISTORY: Normal appetite ,the patient is non -vegetarian ,regular bowel movement,normal micturation ,addictions -occasionally ,normal sleep . FAMILY HISTORY : No history of diabetes mellitus ,hypertension,Heart disease,stroke ,cancers ,tuberculosis,asthma . GENERAL EXAMINATION: T

 August 09 ,2021  Date of admission-09-08-2021 A 53year old men presented to the OPD with a chief complaint of dialysis from Past 4 yrs . HISTORY OF PRESENT ILLNESS : Patient was apparently asymptotic 4 yrs back and then noticed swelling in the body and decrease in urination .since then he has been on medication . Patient is undergoing dialysis twice a week . 3 days back the patient is suffering from stomach pain and was presented to causality . PAST HISTORY: Not a known case of HTN ,CAD,asthma ,epilepsy,thyroid diseases .No history of surgeries in the past . PERSONAL HISTORY: Normal appetite ,the patient is non vegetarian,regular bowel movement,normal sleep ,no addictions . FAMILY HISTORY: No history of diabetics melitus ,asthma ,thyroid disorders in the family .No cancer deaths in family . GENERAL EXAMINATION: Patient is conscious,coherent ,cooperative ,patient is having fistula in the left hand . No Palar  No clubbing  No cyanosis  No pedal Edema  VITALS : Temp :afebrile  Bp :160/10