59 K. Rithika Vasantha

202420807 sampurna CASE HISTORY AND CLINICAL FINDINGS PATIENT PRESENTED WITH C/O SOB SINCE 5 DAYS COUGH SINCE 3 DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 5 DAYS AGO THEN SHE DEVELOPED SHORTNESS OF BREATH SINCE 5 DAYS COUGH SINCE 3 DAYS PRODUCTIVE IN NATURE H/O VOMITING NO H/O HEADACHE FEVER H/O TYPHOID 1 WEEK BACK K/C/O HTN SINCE 1 YEAR K/C/O THYROID SINCE 7 YEARS N/K/C/O DM EPILEPSY TB CVA CAD ON EXAMINATION PATIENT IS CONCIOUS COHERENT COOPERATIVE TEMP 97.3F PULSE 96 BPM RR 20/MIN BP 140/100mmHg SPO2 98% NO PALLOR ICTERUS CLUBBING CYANOSIS GENERALISED LYMPADHENOPATHY SYSTEMIC EAMINATION CVS S1 S2 + RS BAE+ CNS NAD PA SOFT NT BS+ INVESTIGATION NameValueNameValueAnti HCV Antibodies - RAPID11-05-2024 05:15:PMNon Reactive HBsAg- RAPID11-05-2024 05:15:PMNegative RFT 11-05-2024 06:59:PM UREA223 mg/dlCREATININE10.6 mg/dlURIC ACID10.7 mmol/LCALCIUM10.0 mg/dlPHOSPHOROUS9.8 mg/dlSODIUM139 mmol/LPOTASSIUM4.6 mmol/L.CHLORIDE106 mmol/LABG 11-05-2024 06:59:PM PH7.06PCO27.6PO2110HCO35.0St.HCO32.1BEB...

202420808 chandra reddy CASE HISTORY AND CLINICAL FINDINGS CHIEF COMPLAINTS: PATIENT CAME WITH CHIEF COMPLAINTS OF SOB SINCE 1 DAY LOSS OF APPETITE SINCE 7 DAYS COUGH SINCE 7 DAYS HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 7 DAYS AGO AND HE DEVELOPED COUGH SINCE 7 DAYS ,CONTINUOUS TYPE,NOT ASSOCIATED WITH SPUTUM,DRY COUGH,SORE THROAT, NO AGGRAVATING AND RELIEVING FACTORS ASSOCIATED WITH LOSS OF APPETITE SINCE 7 DAYS,WEIGHT LOSS AND SOB SINCE 1 DAY(GRADE2 MMR). N/H/O FEVER,COLD,ALLERGIES,BURNING MICTURITION,CONSTIPATION,PAIN ABDOMEN PAST HISTORY: N/K/C/O HTN,DM,CVA,CAD,EPILEPSY,THYROID DISORDER,ASTHMA,TB GENERAL EXAMINATION: PATIENT CONCIOUS COHERENT COOPERATIVE TEMP 96.5F PULSE 111 BPM RR 27/MIN BP 100/70 mmHg SPO2 98% GRBS:96 MG/DL NO ICTERUS PALLOR CYANOSIS LYMPHADENOPATHY CLUBBING SYSTEMIC EXAMINATION: CVS:S1S2 HEARD , NO MURMURS. RS :BAE NORMAL, NVBS CNS :NO FOCAL NEUROLOGIC DEFICIT P/A:SOFT,NON TENDER,NO ORGANOMEGALY DIALYSIS DONE ON 15/5/24 INVESTIGATION CBP HB TC N L E M B PLT SM...

202420242 rajitha CASE HISTORY AND CLINICAL FINDINGS PATIENT PRESENTED WITH C/O WATERING FROM LEFT EYE SINCE 2 YEARS SWELLING OF LEFT EYE SINCE 2 YEARS HOPI - PATIENT WAS APPARENTLY ASYMPTOMATIC 2 YEARS BACK THEN SHE DEVELOPED WATERING AND SWELLING OF LEFT EYE FOR WHICH SHE TOOK TREATMENT AND GOT RELIEVED AND DEVELOPED SWELLING AGAIN 3 DAYS BACK WHICH IS INSIDIOUS IN ONSET SUDDEN IN PROGRESSION HISTORY OF PAST ILLNESS K/C/O EPILEPSY 1 YEAR BACK N/K/C/O HTN DM TRAUMA CVA CAD THYROID H/O DIALYSIS 2 YEARS BACK ON EXAMINATION PATIENT CONCIOUS COHERENT COOPERATIVE TEMP 97.3F PULSE 96 BPM RR 20/MIN BP 140/100mmHg SPO2 98% PALLOR PRESENT NO ICTERUS CYANOSIS LYMPHADENOPATHY CLUBBING SYSTEMIC EXAMINATION: CVS:S1S2 HEARD , NO MURMURS. RS :BAE NORMAL, NVBS CNS :NO FOCAL NEUROLOGIC DEFICIT LEVEL OF CONSIOUSNESS: CONCIOUS CRANIAL NERVES, MOTOR NERVES, SENSORYSYSTEM NORMAL SPEECH : NORMAL NO NECK STIFFNESS NO KERNIGS SIGN P/A: ON EXAMINATION SHAPE: OBESE INSPECTION- UMBILICUC IS CENTRAL AND INVERTED...

202352852 r alekya CASE HISTORY AND CLINICAL FINDINGS COURSE IN THE HOSPITAL: A 11 YEAR OLD FEMALE CAME WITH COMPLAINTS OF FACIAL PUFFINESS SINCE 1 MONTH AND SHE HAD H/O FEVER LASTED FOR 3-4 DAYS RELIEVED ON MEDICATION FOLLOWED BY H/O COUGH FOR 3-4 DAYS RELEVED ON MEDICATION, AFTER 10 DAYS PATIENT DEVELOPED FACIAL PUFFINESS IN EARLY MORNING RELEVING IN EVENING ON ITS OWN. AND THEN SHE WAS FURTHER INVESTIGATED AND EVALUATED AND PROVISIONALLY DIAGNOSED AS NEPHROTIC SYNDROME AND SHE WAS ON CONSERVATIVE MANAGEMENT GENERAL EXAMINATION- THE PATIENT IS CONSCIOUS, COHERENT, COOPERATIVE NO SIGNS OF PALLOR, ICTERUS NO CYANOSIS, CLULBBING, EDEMA, LYMPHADENOPATHY VITALS: TEMP: AFEBRILE PR: 84 BPM RR: 18 CPM BP: 100/60 MM HG SPO2: 96% @ RA CVS: S1, S2 HEARS, NO MURMURS RS: BAE+, NVBS TRACHEA: CENTRAL NO DYSPNOEA AND WHEEZE NO RHONCHI ABDOMEN: NON TENDER, SOFT LIVER AND SPLEEN NOT PALPABLE BOWEL SOUNDS HEARD CNS: NFND Investigation COMPLETE URINE EXAMINATION (CUE) 24-11-2023 03:39:PM COLOUR Pale yel...

: 202351482 aradhan shilshrma CASE HISTORY AND CLINICAL FINDINGS 39YEAR OLD MALE CAB DRIVER BY OCCUPATION RESIDENT OF WEST BENGAL CAME TO GM OPD WITH COMPLAINTS OF ABDOMINAL DISTENSION SINCE 2 MONTHS B/L PEDAL EDEMA SINCE 2 MONTHS DECREASED APPETITE SINCE 2 MONTHS DECREASED URINE OUTPUT SINCE 1 MONTH HOP I:PATIENT WAS APPARENTLY ASYMPTOMATIC 2 MONTHS BACK THEN HE DEVELOPED ABDOMINAL DISTENSION INSIDIOUS IN ONSET,GRADUALLY PROGRESSIVE ASSOCIATED WITH DECREASED APPETITE SINCE THEN B/L PEDAL EDEMA UPTO KNEE SINCE 2 MONTHS PITTING TYPE INCREASED ON WALKING AND RELIEVED ON REST.DECREASED URINARY OUTPUT SINCE 1 MONTH INSIDIOUS IN ONSET,GRADUALY PROGRESSIVE. NO H/O FEVER,COUGH,BREATHLESSNESS PAST HISTORY: NOT A K/C/O DM,HTN,ASTHMA,TB,EPILEPSY NO H/O CVA,CAD PERSONAL HISTORY MIXED DIET APPETITE -NORMAL BOWEL -REGULAR MICTURITION -NORMAL NO KNOWN ALLERGIES OCCASIONALLY ALCOHOLIC 180ML WEEKLY ONCE AND STOPPED 1 YEAR BACK SMOKER BD - 1 PACK/DAY AND STOPPED 3 MONTHS BACK FAMILY HISTORY - NOT SIGNI...

202418444 jyothi CASE HISTORY AND CLINICAL FINDINGS C/O OF FEVER SINCE 10 DAYS C/O OF COUGH SINCE 10 DAYS PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK ,THEN DEVELOPED FEVER ,SUDDEN IN ONSET ,CONTINUES TYPE ,A/W WITH CHILLS ,H/O COUGH ,PRODUCTIVE TYPE ,WHITISH SPUTUM SINCE 1 DAY .H/O OF NAUSEA PRESENT ,H/O OF DYSPHAGIA WITH STOMATITIS AND GLOSSITIS NO H/O OF SHORTNESS OF BREATH ,CHEST PAIN ,VOMITING ,LOSS OF CONSIOUSNESS , NO H/O OF PALPITATIONS ,DIZZINESS ,HEADCHE GENERAL EXAMINATION PATIENT IS C/C/C NO PALLOR ,ICTERUS, CYANOSIS ,CLUBBING ,LYMPHADENOPATHY ,OEDEMA OF FEET VITALS BP 100MMHG PR 86 BPM RR 23 CPM TEMPERATURE 98.8 F STSTEMIC EXAMINATION RS ; BAE PRESENT , NVBS CVS ;S1 ,S2 HEARED CNS ; NFND PA ; SOFT NON TENDER REFERRAL DONE BY PSYCHIATRY I/V/O ADJUSTMENT DISORDER ADVICE- TAB MIRTAZEPINE 7.5 MG 0-0-1 REFERRAL DONE BY OPTHALMOLOGY I/V/O VAWSCULITIS ADVICE- FUNDUS FLUROSCEIN ANGIOGRAPHY AND OCT REFERRAL DONE BY ENT I/V/O ORAL CANDIDIASIS ADVICE- 2%BETADINE GARGLES [DILUTED]...

202413871 islavath hanma CHIEF COMPLAINTS: SWELLING OF BOTH LOWER LIMBS SINCE 3 MONTHS. DIFFICULTY IN BREATHING SINCE ONE MONTH. HISTORY OF PRESENT ILLNESS: -PATIENT WAS APPARENTLY NORMAL 3-4 MONTHS BACK. -HE THEN DEVELOPED SWELLING OF BOTH LOWER LIMBS-PITTING TYPE EXTENDING UPTO THE KNEE-NOT RELIEVED ON LYING DOWN ASSOCIATED WITH PAIN AND TENDERNESS. -HE VISITED A HOSPITAL AND WAS TOLD TO HAVE CKD AND PUT ON MEDICAL MANAGEMENT.USED MEDICATION FOR 1 MONTH AND STOPPED. -C/O DIIFICULTY IN BREATHING SINCE ONE MONTH-INITIALLY GRADE 2(MMRC) NOW PROGRESSED TO GRADE 3-RELIEVED ON TAKING REST. -C/O DECREASED URINARY OUTPUT SINCE 1 WEEK. -C/O DECREASED APPETITE,CONSTIPATION. NO C/O FEVER,NAUSEA,VOMITINGS,CHEST PAIN,PND. -C/O CAD-CABG DONE 8 YEARS BACK. -K/C/O DM TYPE 2 SINCE 5 YEARS. -K/C/O HTN SINCE 1 YEAR USING MEDICATION. -NOT A K/C/O TB,EPILEPSY,CVA,BRONCHIAL ASTHMA,THYROID DISORDERS. TREATMENT HISTORY: NO SIGNIFICANT HISTORY. PERSONAL HISTORY: MARRIED OCCUPATION-HOTEL WORKER APPETITE- LOST...