62.vennala reddy

 A 35 yrs female ,came to opd with complaints of swelling in abdomen since 15 days History of present illness:   Patient was apparently asymptomatic 15 days ago back . She developed fever which is mild onset ,gradually prognosive associated with chills and rigor. Fever has been subsided  taking medication. -she developed abdominal distension 15 days back  -patient has suffered from loss of appetite from 10 days ago Past history: -No history of chest pain ,palpitations,cold ,cough  -patient is not suffering with hypertension  ⁃ no history of diabetes,epilepsy,TB,tyroid disorder ⁃ Patient had not undergone any surgeries  ⁃ Blood transfusion undergone in 2 ndpregnancy    Personal history: Diet-mixed Appetite-loss of appetite  Bowel and bladder-irregular  Sleep-normal  Addiction -no addiction  Family history: No history of DM/HTN/TB/ asthma/ thyroid  No similar complaints in the family previously  Treatment history: not significant  General examination: -Patient is conscious,co

 2.acute pancreatitis: essay                         3.Dengue:                                                                4.Cushing syndrome:                                               10.    Ascites                                                                               8.leptospirosis:                                                   7..rheumatoid arthritis: and           6. cardiogenic pulmonary edema                                                                                                  17 .Micro and macro vascular Complications of diabetes  And  14. Renal artery stenosis                                        15. Acute kidney injury  and                   11. Pyrexia of unknown origin                          20 . Iron deficiency anemia  And  19. Metabolic acidosis                           12. Drug induced liver injury                          Short note - 9. Heart failure                               Eassay -1 hemiparesis                                  

A 56 yrs old female ,who works as a farmer presented to opd 4 days back ,with chief complaints of fever ,loss of appetite History of present illness: Patient was apparently asymptomatic 1 week back .patient complaints of nocturnal fever (high grade fever  associated with chills )  >Along with the fever , she also complains of ear discharge which is mucoid in nature with no blood stained ,with severe pain in ear .she has decreased hearing for soft sounds,non -fluctuant with nasal obstruction. >She complains of loss of appetite , mild abdominal pain . >She even suffered with facial puffiness along with cough  >2 days later she has suffered with grade III shortness of breath  >she has even pedal edema  which has become normal now . HISTORY OF PAST HISTORY: Not a known case of asthma, TB, epilepsy, thyroid disorder No history of blood transfusion Patient has hypertension from past 1 week  Patient has not  undergone any surgery before  Personal history: Diet : mixed  Appetite