Anahita behara

date of admission 3/5/2024  date of discharge 16/5/2024   Diagnosis RADIATION ENTERITIS WITH RIGHT HYDROURETERO NEPHROSIS KNOWN CASE OF CARCINOMA CERVIX POSTHYSTERECTOMY STATUS Case History and Clinical Findings C/O PAIN ABDOMEN SINCE 10 DAYS LOOSE STOOLS SINCE 6 DAYS HOPI:PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK, THEN HE DEVELOPED PAIN PAIN ABDOMEN DIFFUSE INSIDUOUS ONSET GRADUALLY PROGRESSIVE AND SUBSIDED YESTERDAY EVENING .SQUEEZING IN NATURE AGGRAVATED ON TAKING FOOD AND RELIEVED ON PASSING TOOLS H/OLOOSE STOOLS SINCE 6 DAYS FOOD AS CONTENT10-12 EPISODES PER DAY H/O FEVER LOW GRADE INTERMITTENT DURING NIGHT RELIEVED ON TAKINGMEDICATION NOT ASSOCIATED WITH CHILLS AND RIGOR NO H/O VOMITING . PAST HISTORY: K/C/O HYPOTHYROIDISM AND ON CARBIMAZOLE 2.5 MG OD NO H/O SIMILAR COMPLAINTS IN THE PAST. N/K/C/O DM, HTN, TB , CKD ,CVA , ASTHMA,EPILEPSY ,THYROID. H/O OF CARCINOMA CERVIX 1 YEAR AGO FOR WHICH HYSTERECTOMY WAS DONE F/B RADIOTHERATY AND CHEMOTHERAPY FOR 3 MONTHS PATI...

 Diagnosis DENGUE PYREXIA (NS POSITIVE) CHRONIC KIDNEY DISEASE ON MAINTENANCE HEMODIALYSIS Case History and Clinical Findings PATIENT CAME WITH C/O FEVER SINCE 3DAYS, CHEST PAIN SINCE TODAY MORNING HOPI- PT WAS APPARENTLY ASYMPTOMATIC TILL TODY MORNING THEN SHE DVELOPED CHEST PAIN WHICH IS SUDDEN IN ONSET, GRADUALLY PROGRESSIVE(BURNING TYPE, LOCALISED, LEFT SIDED) ASSOCIATED WITH SOB GRADE III C/O PEDAL EDEMA, BILATERAL PITTING TYPE, GRADE II H/O FEVER 3 DAYS AGO WITH GENERALISED BODY PAINS TESTED NS POSITIVE 3 DAYS AGO WITH YESTERDAY PLATELETS 65OOO NO C/O BURNING MICTURITION, VOMITINGS, LOOSE STOOLS, BLEEDING GUMS, HEMATEMESIS, HEMOPTYSIS, PURPURA, RASHES, PALPITATIONS. PAST HISTORY- H/O LEFT PCNL + DJ STENTING DONE 3 MONTHS AGO WITH STENT REMOVAL DONE LEFT MULTIPLE CALCULI , B/L HUN WAS PRESENT L>R K/C/O CKD SINCE 3 MONTHS ON DIALYSIS SINCE 20 DAYS ,8 HD DONE. NOT A K/C/O DM, HTN, CAD,CVA, ASTHMA, THYROID DISORDERS. FAMILY HISTORY- INSIGNIFICANT MENTRUAL HISTORY- MENOPAUSE AT...

 Diagnosis date of admission 27/1/2024  date of discharge 29/1/2024 DENGUE FEVER, WITH THROMBOCYTOPENIA, NS1 POSITIVE DENOVO TYPE 2 DM Case History and Clinical Findings PATIENT CAME WITH C/O FEVER SINCE 10 DAYS, COUGH, COLD WITH 10 DAYS, LOOSE WATERY STOOLS 10 DAYS BACK PATIETN WAS APPARENTLY ASYMPTOMATIC 10 DAYS AGO , THEN DEVELOPED FEVER LOW GRADE, ASSOCIATED WITH CHILLS AND RIGORS, PERIODIC, ASSOCIATED WITH COUGH, COLD 10 DAYS BACK, DRY COUGH AND RESOLVED 5 DAYS BACK. LOOSE STOOLS , NON BLOOD STAINED, 3-4 EPISODES 10 DAYS BACK, RESOLVED 5 DAYS BACK NO H/O VOMITING, BURNING MICTURITION PAST HISTORY NO H/O HTN, DM, TB, ASTHMA, EPILEPSY NO ADDICTIONS PERSONAL HISTORY: DIET:MIXED SLEEP:ADEQUATE BOWEL AND BLADDER:REGULAR ADDICTIONS:NO APPETITE:NORMAL GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON. NO PALLOR,ICTERUS CYANOSIS,CLUBING,LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:98.6 BP:120/80 MM HG PR:84 BPM RR:18 CPM SYSTEMIC ...

 Diagnosis DENGUE FEVER WITH THROMBOCYTOPENIA TYPE -2 DIABETES MELLITUS SINCE 2 YEARS Case History and Clinical Findings C/O FEVER SINCE 3 DAYS HEAD ACHE SINCE 3 DAYS WEAKNESS SINCE 3 DAYS SWELLING OF BOTH LOWER LIMBS SINCE 1 WEEK PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO THEN DEVELOPED FEVER WHICH WAS LOW GRADE PERIODIC,ASSOCIATED WITH CHILLS AND RIGORS HEAD IS SUDDEN IN ONSET,ASSOCIATED WITH FEVER NO H/O COUGH ,COLD,VOMOTINGS,DIARRHEA,BLOOD STAINED STOOLS,VOMITINGS K/C/O DIABETES MELLITUS ON TAB.METFORMIN 500 MG SIONCE 2 YEARS NO H/O HYPERTENSION,TB,ASTHMA,EPILEPSY CHRONMIC SMOKER 2-3 (CHUTTA) PER DAY SINCE 20 YEARS NO H/O SIMILAR COMPLAINTS IN THE PAST GENERAL EXAMINATION :- PATIENT WAS CONSCIOUS COHERENT AND COOPERATIVE NO PALLOR ICTERUS CYANOSIS CLUBBING LYPHADENOPATHY AND EDEMA VITALS :- TEMP- AFEBRILE PULSE RATE- 82 BPM RR- 16 CPM BP- 110 / 70 MMHG GRBS- 98 MG/DL SYSTEMIC EXAMINATION :- CVS- S1 S2 HEARED, NO MURMURS RS - BAE + , NVBS CNS - NFND P/A - SOFT NON TENDER , B...

 Diagnosis VIRAL PYREXIA WITH THROMBOCYTOPENIA Case History and Clinical Findings 80YR OLD MALE CAME WITH CHIEF COMPLAINTS OF FEVER SINCE 5 DAYS AND GENERALISED WEAKNESS SINCE 5 DAYS HISTOR OF PREENTING ILLNESS : PATIENT WAS APPARENTLY ASYMPTOMATIC 5 DAYS BACK , THEN HE DEVELOPED HIGH GRADE FEVER WITH DIURNAL VARIATION ASSOCIATED WITH HEADACHE AND NOT ASSOCIATED WITH CHILLS AND RIGORS NO H/O COLD , COUGH , SOB , ABDOMINAL DISTENSION NO H/O PAIN ABDOMEN , LOOSE STOOLS , NAUSEA , VOMITINGS NO H/O BURNING MICTURITION PAST HISTORY : K/C/O DM SINCE 1 YR ON TAB GLYCOMET GP1 H/O CHEST PAIN ? CAD 6 YRS BACK N/K/C/O CVA , SEIZURES , THYROID , ASTHMA GENERAL EXAMINATION- THE PATIENT IS CONSCIOUS, COHERENT, COOPERATIVE MODERATELY BUILT AND NOURISHED NO SIGNS OF PALLOR, ICTERUS, CYANOSIS, CLULBBING, EDEMA VITALS: TEMP: 97 F PR: 74 BPM RR: 16 CPM BP: 140/90 MM HG PO2: 96% @ RA GRBS: 320 MG/DL CVS: S1, S2 HEARS, NO MURMURS RS: BAE+, NVBS TRACHEA: CENTRAL NO DYSPNOEA AND WHEEZE NO RHONCHI ABDOMEN...

 Diagnosis VIRAL PYREXIA WITH THROMBOCYTOPENIA (RESOLVING) ACUTE GE (RESOLVED) ORAL CANDIDIASIS S/P 2 SDP TRANSFUSIONS ON 6/4/24 , 8/4/24 Case History and Clinical Findings A 35Y/F CAME WITH C/O FEVER SINCE 3DAYS , LOOSE MOTIONS AND VOMITINGS SINCE 3 DAYS PT. WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO , THEN SHE DEVELOPED FEVER , WHICH WAS INSIDIOUS IN ONSET , HIGH GRADE , INTERMITTENT A/W CHILLS RESOLVED ON MEDICATION H/O VOMITINGS 5-6 EPISODES , FOOD ASSOCIATED , NON-PROJECTILE, NON-BILIOUS H/O LOOSE STOOLS -3 EPISODES PER DAY , WATERY IN CONSISTENCY H/O PETECHIAE OVER PALATE , RETRO ORIBITAL PAIN , MELENA , SOB N/H/O PAIN ABDOMEN PAST HISTORY N/K/C/O DM,HTN,ASTHMA,EPILEPSY,THYROID DISORDERS GENERAL EXAMINATION PATIENT IS CONSCIOUS COHERENT CO-OPERATIVE TEMP 98 F PR 88 BPM RR 20 CPM BP 110/70 MMHG SPO2 98 CVS S1 S2 HEARD NO MURMURS RS: DYSPNEA: GRADE II TO III NYHA, TRACHEA CENTRAL, VESICULAR BREATH SOUNDS ABDOMEN: SCAPHOID, SOFT, NON TENDER CNS: GCS E4V5M6, CONSCIOUS, NORMAL SPEECH ...

 Diagnosis VIRAL PYREXIA WITH THROMBOCYTOPENIA ACUTE KIDNEY INJURY ? URINARY TRACT INFECTION Case History and Clinical Findings A 50 YR OLD MALE CAME TO CASUALTY WITH C/O FEVER SINCE 4 DAYS COUGH AND COLD SINCE 4 DAYS C/O BODY PAINS HEADACHE ABDOMINAL PAIN VOMITINGS SINCE 4 DAYS HOPI PATIENT WAS APPARENTLY ASYMPTOMATIC SINCE 4 DAYS AGO THEN HE DEVELOPED FEVER INTERMITTENT LOW GRADE A/W CHILLS AND RIGORS NO DIURNAL VARIATION NO MYALGIA RETROORBITAL PAIN GENERALISED WEAKNESS + H/O VOMITING 1 EPISODE FOOD AS CONTENT NON PROJECTILE NON BILIOUSNON FOUL SMELLING H/O FRONTAL HEADACHE INTERMITTENT H/O ABDOMINAL PAIN AND REBOUND TENDERNESS+ H/O COUGH COLD SPUTUM + SCANTY WHITISH NON BLOOD STAINED NON FOUL SMELLING H/O BODY PAINS PAST HISTORY N/K/C/O HTN, DM, TB, ASTHMA, EPILEPSY, THYROID DISORDERS, CAD CVA PERSONAL HISTORY: OCCUPATION-FARMER DIET-NON VEGETARIAN APPETITE-LOST SLEEP-ADEQUATE BOWEL MOVEMENTS-REGULAR ADDICTIONS- ALCOHOLIC STOPPED 5 YEARS AGO GENERAL EXAMINATION: AFEBRILE 98.2 F...