59 K. Rithika Vasantha

202416614 narasimha CASE HISTORY AND CLINICAL FINDINGS CHEIF COMPLAINTS : PATIENT PRESENTED WITH COMPLAINTS OF ABDOMINAL PAIN SINCE 1 DAY. HOPI PATIENT WAS APPARENTLY ASYMPTOMATIC 1 DAY BACK WHEN HE DEVELOPED PAIN IN THE RIGHT UPPER ABDOMEN WHICH INITALLY STARTED AFTER CONSUMPATION OF TODDY EARLY IN THE MORNING . PAIN IS SQUEEZING IN NATURE, NON RADIATING, NO AGGRAVATING AND RELIVELING FACTORS. H/O ANOREXIA SINCE 1 DAY H/O VOMITIMG 1 EPISODE TODAY NO H/O FEVER , TRAUMA , DIARRHOEA NO H/O CHEST PAIN, CHEST TIGHTNESS, PALPITATIONS NO HISTORY OF ORTHOPNEA PND NO HISTOTY OF CONSTIPATION PAST EXAMINATION: N/K/C/O DM/HTN/CAD/CVA, ASTHMA, THYROID DISORDERS H/O SIMILAR COMPLAINTS IN THE PAST RELIVED ON MEDICATION GENERAL EXAMINATION: PATIENT CONCIOUS COHERENT COOPERATIVE TEMP 97.3F PULSE 96 BPM RR 20/MIN BP 140/100mmHg SPO2 98% NO ICTERUS PALLOR CYANOSIS LYMPHADENOPATHY CLUBBING SYSTEMIC EXAMINATION: CVS:S1S2 HEARD , NO MURMURS. RS :BAE NORMAL, NVBS CNS :NO FOCAL NEUROLOGIC DEFICIT LEVEL OF CO...

202307718 linga swamy CASE HISTORY AND CLINICAL FINDINGS A 35 YR OLD MALE WHO WAS ATRUCK DRIVER BY OCCUPATION WAS BROUGHT TO THE CASUALITY WITH C/O ALTERED SENSORIUM AND GENERALISED WEAKNESS SINCE 1WEEK HOPI PT. WAS APPARENTLY ASYMPTOMATIC 10YRS AGO THEN HE DEVELOPED COUGH AND GENERALISED WEAKNESS FOR WHICH HE WENT TO HOSPITAL AND DIAGNOSED WITH DM AND WAS PRESCRIBED OHAS SINCE THEN HE STARTED USING OHAS BUT WAS ON IRREGULAR MEDICATION AND HAD POOR CONTROL OF SUGARS .THEN WAS ON INSULIN SINCE 7YS,STOPPED USING INSULIN FROM 15DAYS 2 YRS BACK HE DEVELOPED BOTH LL SWELLING WHICH GRADUALLY PROGRESSED TO ANASARCA SINCE THEN HE HAD FREQUENT ATTACKS OF HYPOGLYCEMIA AND DECREASED URINE OUTPUT 3 MONTHS BACK.PT.DEVELOPED FEVER WITH ULCER OVER RIGHT GREAT TOE. LOWER LIMB AND FACIAL PUFFINESS AGGRAVATED ,BROUGHT TO OUR HOSPITAL AND WAS ADMITTED AND DISCHARGED SINCE 7DAYS,PT. HAD GENERALISED WEAKNESS , ALTERED BEHAVIOUR ,INCREASED SLEEPINESS DURING DAY TIME,ALTERED SLEEP CYCLE SINCE 1WEEK, AND WAS ...

202422234 CASE HISTORY AND CLINICAL FINDINGS CHIEF COMPLAINTS: C/O FACIAL PUFFINESS SINCE 5 MONTHS C/O BILATERAL SWELLING OF LOWER LIMBS SINCE 5 MONTHS. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 5 MONTHS AGO THEN DEVELOPED FACIAL PUFFINESS WHICH WAS INSIDIOUS , ON AND OFF .ONLY IN MORNING , GRADUALLY DECREASED BY NIGHT FOLLOWED BY PEDAL EDEMA, IN BOTH LEGS EXTENDS UPTO MIDTHIGH, PITTING TYPE, GRADUALLY PROGRESSIVE. H/O SOB CLASS 2 NYHA, ABDOMINAL DISTENSION , SWELLING OF BOTH HANDS. NO H/O DECREASED URINE OUTPUT ,FEVER NO H/O CHEST PAIN, PALPITATIONS NO H/O COUGH,COLD,CONSTIPATION NO H/O RASH,ITCHING PAST HISTORY - K/C/O NEPHROTIC SYNDROME SECONDARY TO MEMBRANOUS NEPHROPATHY (SEROLOGICAL DIAGNOSIS )SINCE 1 YEAR 3 CYCLES OF MODIFIED PONTICELLI REGIMEN WAS GIVEN AND ON REGULAR MEDICATION K/C/O HTN SINCE 2 YEARS WAS ON TAB .CLONIDINE 0.1MG PO/BD,TAB CINOD 10 MG PO/BD ,TAB METXL 25MG PO/BD K/C/O DM SINCE 2 YEARS WAS ON TAB.LINAGLLIPTIN 5MG PO/OD N/K/C/O EPILEPSY,THYROID DISORDERS,CVA,CAD,A...

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...