62.vennala reddy

 A 14 yrs old male presented to opd on 7 sep ,2021 with chief complain of fever since 1 week        History of present illness: - [ ] Patient was apparently well one week back. Patient complaints of fever since 1 week. Patient is suffering with tightness in abdomen . - [ ] Patient undergone one episode of vomiting. - [ ] They is also a history of loose stool(black coloured stool) with generalized weekness. - [ ] Patient even complains of ear pain .and they is no history of cough ,no ear discharge,no ear trauma,no nasal obstruction  - [ ] They is no history of ringing sensation  - [ ] Patient even complaints of breathlessness      History of past illness:          Not a known case of CAD,asthma,TB, epilepsy,thyroid disorder        They is no history of blood transfusion in the past       Not a known case of hypertension  Personal history: 1. Diet:mixed 2. Loss of appetite -present  3. Bowel and bladder movement-irregular  4. Respiration-normal 5. Sleep -regular. Allergy history: Patient

 Date of admission:4/9/22 A 50 yrs old female presented to opd with chief complaints of necrotic patch on right toe  History of present illness:    Patient was apparently a symptomatic one month back.she had developed necrotic patch /bleds on right toe since 15 days.patient suffering with diabetes mellitus since 10 yrs. She was treated in Nalgonda hospital and advanced amputation but has level was 7.5 mg/dl .after which she was referred to our hospital .patient complaints of pus discharge with foul smelling.movement of right toe is reduced. Patient complaints of dark /black pigmentation extending till the middle of foot is seen .no sensation occur over the toe . History of past illness:   >Not a known case of CAD,asthma,TB,epilepsy,thyroid disorder >no history of blood transfusion in the past >patient suffers with hypertension  Personal history: Diet:mixed Loss of appetite:poor  Sleep:regular Bowel and bladder movement:irregular  Micturation :abnormal  Menstrual history:post -