63.P.Likhitha

Feb 08,2022   A 50 year male farmer ,manual labourer,brought to casualty with h/o altered sensorium since 1 day H/o fever since 4 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 4 days ago,then he developed fever which is high grade,No diurnal variation, associated with chills. No h/o cough and GE symptoms.  Attenders tells h/o stoppage of OHA for 3days, h/o decreased intake of food as he has fever. H/o altered sensorium since 1 day. Irrelevant talk,not recognising attenders since this morning . Able to move all four limbs,No h/o vomitings, head ache, seizures. Took him to nalgonda hospital, TLC-13,000:POT-5.0:CREATININE:2.9 SHIFTED HERE FOR FURTHUR MANAGEMENT.  PAST HISTORY -  H/o TB 2YRS back used ATT for 6 months. Diagnosed as Type -2 Diabetes mellitus on OHA 1 YR back. No H/O HTN,CVA,CAD,COVID-19. PERSONAL HISTORY : DIET - MIXED, APPETITE -NORMAL , BOWEL MOVEMENT - REGULAR ,  BLADDER MOVEMENTS - REGULAR, ADDICTIONS-H/O SMOKING 30yrs ago(1 pack per day)- 

A 40 yr old female with severe anaemia   February 07, 2022 A 40 yr old unmarried female c/o Generalized weakness since 1yr Decreased appetite since 1 yr Bleeding PV since 4 days She is a second born child of her parents ( 3rd degree consanguinous marriage) HISTORY OF PRESENT ILLNESS: Patient attained menarche at the age of 14, since then cycles were regular, with normal flow initially. 4-5 days /month, no clots, dysmenorrhea.  LMP- 05/02/2022 But since 6 months she has increased bleeding during her cycles. 6months patient went to other private hospital where she was diagnosed with low Hb% and advised for blood transfusion which was not done and patient was not on any medication for anaemia. HISTORY OF PAST ILLNESS: Not a k/c/C/o DM, HTN, thyroid, epilepsy, asthma. PERSONAL HISTORY: Unmarried  Occupation -11th standard  Appetite decreased since 2ys only 1 meal /day Non-vegetarian  Bowels -constipation  Micturation-normal  No known allergies  No addictions  General examination Patient is