62.vennala reddy

  Date of Admission- 05 -02-22 A 25 year old Male presented to OPD with chief complaints of  vomitings 10 episodes and bipedal edema and decreased Urinary output since 3 years .  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 years ago then  he developed multiple episodes of vomitings for which he was admitted in the hospital and found to have high BP of 170 mm Hg .  HISTORY OF PAST ILLNESS  Known history of hypertension . Known history of Tuberculosis  No history of Diabetes mellitus asthma, epilepsy. No history of surgeries, chemotherapy or radiotherapy  PERSONAL HISTORY  Diet - Mixed   Appetite- Normal  Bowel movement is regular . Micturition - Normal  Addictions- None  Sleep  - Regular  FAMILY HISTORY   No history of DM, CAD, Asthma and thyroid disorders in the family GENRAL EXAMINATION  Patient is conscious, coherent, co-operative. There are no signs of icterus, clubbing, pallor, cynosis, lymphadenopathy VITALS Temperature- 98.4   Pulse rate-  78 bpm Respiratory

Feb 8,2022 A 50 year male farmer brought  to casualty with chief complaints of  -pain abdomen since15 days -Loss of appetite since 10 days -H/o fever since 3days. -h/o vomitings since 3 days -h/o constipation since 3 days -h/o altered sensorium since 3 days -h/o yellowish discoloration of urine since 2 days. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 15 days ago, he is a chronic smoker and daily alcohol consumption from past 35 yrs.  he developed pain abdomen in epigastric region from past 15 days, associated with 3 episodes of vomitings-food particles as content. With severe abdominal pain at lower part Patient also suffered with constipation from past 3 days. From past 3 days he developed altered sensorium. Yellowish discolouration in urine is seen from past 2 days. PAST HISTORY -  Not a K/C/O DM, HTN,CVA,CAD,COVID-19. DIAGNOSED AS DENGUE IgM POSITIVE ON 2/2/22-AND TREATMENT  TAKEN PERSONAL HISTORY : DIET - MIXED, APPETITE -LOSS OF APPETITE SINCE 10 DAYS BOWE