Pavan 123

1)http://ramprasad116.blogspot.com/2022/01/64-year-male-with-decreased-urine.html 2)http://jyothsna113.blogspot.com/2022/01/58year-old-male-with-ckd-on-mhd.html 3)http://muskaanmenghwani.blogspot.com/2022/01/a-50-year-old-male-with-loss-of-appetite.html 4)http://nehapurohit115.blogspot.com/2022/01/general-medicine-case-discussion.html 5)http://elogformedicalcase.blogspot.com/2022/01/57yr-old-male-came-to-casualty.html 6)http://viharreddy127.blogspot.com/2021/12/ckd-ward-21221-update.html 7)http://shubhasri98.blogspot.com/2022/01/48-yr-old-patient-ckd.html 8)http://jyothsna113.blogspot.com/2022/01/55year-old-male-with-ckd-on-mhd.html 9)http://elogformedicalcase.blogspot.com/2022/01/70-old-man-farmer-occupation-from.html 10)https://ashiness92.blogspot.com/2021/08/55-year-man-with-lower-limb-edema.html 11)http://muskaanmenghwani.blogspot.com/2022/01/a-55yr-old-male-patientdaily-wage.html 12)https://srakeshkumarrollno153.blogspot.com/2021/12/53-year-old-female-patient.html?m=1 13)https://m

A 40 year old male resident of Nacharam came with the complaints of Shortness of breath,facial swelling,pedal edema. C/o abdominal distention since 25 days. Pain in the epigastric region. C/O decreased urine output since 25 days. The patient was apparently asymptomatic 4 months back .He used to go for work (farming) before 4 months .Suddenly he developed cough along with Shortness of breath ,for which he was taken to private hospital in Nalgonda where he was diagnosed with kidney failure and was advised to undergo dialysis. He Underwent 6 sessions of dialysis for a period of 9 days ,and SOB  was relieved with dialysis. After that he came to OPD where he is diagnosed with CKD and advised for dialysis later he developed pedal oedema after 20 days of the first visit ,the edema is of pitti

 45 yr old male patient, church pastor by occupation, came to the hospital with chief complaints of  Shortness of breath for 4 days 1 1/2 yr back Pedal edema for 4 days 1 1/2 yr back Decreased urine output for 4 days 1/1/2 yr back The patient was apparently asymptomatic 15 months back when he developed vomitings, loss of appetite and decreased urine output for which he was taken to the hospital where he was diagnosed with CKD. Since then the patient has been undergoing about 4-5 sessions of dialysis every month. Had h/of hearing loss since 8 months secondary to diuretics and initially used hearing aids but stopped using it due to one sided headache Underwent catarct surgery left eye in July 2021 and right eye in Nov 2021 Patient presently on fern cath placed in month of May  K/c/o  CKD on MHD since 11/2 year HTN since 10 years on tab nicardia 10 mg  DM since 10 years. Was on tab metformin but stopped using medication since starting dialysis sugars were under contolled    Yesterday duri

UNIT 3 ADMISSION  A 20 year old female presented to opd with h/o Fever 1 year back which she got diagnosed with high blood pressure with BP 170/90mmHg.   She thought it was due to Fever.she didn't get herself reviewed     Two months back She got covid vaccination and was associated with Fever,chills and subsided next day      5 days back on routine checkup her BP was still high showing 180/110mmHg and was brought here to Kamineni by her sister and mother No history of decreased urine output No history of Polyuria,polydypsia,polyplegia Past history:not a k/c/o Dm,HTN, asthma, tuberculosis, epilepsy, Ckd Personal history: Appetite-normal Bowels- regular  Micturition-normal No addictions Family history: Father and grandfather is a k/c/o HTN General examination: No pallor  No cyanosis  No icterus  No lymphadenopathy  No edema Vitals Temperature:98.2f Pr:102bpm  Rr:16cpm Bp: Upper limb- Left :180/110mmHg

A 40 year old male, labourer by occupation came with c/o  1.fever since 5 days      High grade, Associated with chills  2. Cough since 5 days       Productive type, with mucoid expectoration        The patient was apparently assymptomatic 5 days ago and then he developed fever which was high grade , associated with chills and cough which is productive with mucoid expectoration Loose stools 7 episodes - 3 days ago  Not associated with nausea, vomiting,burning micturition. Past h/o K/c/o - HTN since 3 years  Amlodipine 5 mg Metoder xl 50 mg  Not a k/c/o DM, asthma , epilepsy, TB, CVD PERSONAL HISTORY He takes mixed diet Appetite - normal Sleep - adequate Bowel and bladder movements- regular Addictions - drinks alcohol occasionally and chews betel leaf On general physical examination Patient is conscious,coherent, cooperative Moderately built and nourished  No pallor ,icterus,clubbing,edema of feet,koilonychia, edema of feet Vitals:- Temperature- 101.2° F Pr- 84 BPM BP- 170/110 mm hg RR-

Unit 3 admission ICU A 60 yr old female came with C/O SOB grade 3-4 from past 5days progressive in character,no diurnal variation  HOPI: patient was apparently alright 10yrs back where she had an episode of shortness of breath ,cough with expectoration and was taken to hospital relieved after 2-3 days  She had intermittent episode of acute exacerbation yearly twice ( for which she had to be hospitalized)  Past history: She gave long history of usage of bio fuel since childhood and still uses it now and then as she recalls  She is diagnosed to be diabetic 4 yrs back (was detected incidentally during hospitalization),-on medication since 4 yrs Denies history of TB/Epilepsy/HTN ,she was using medication for cough(not documented) Personal history: Appetite: normal Bowel- reduced frequency of passing stools Micturition -normal Takes alcohol occasionally No significant family history General examination: Pallor:present No cyanosis,icterus, lymphadenopathy