Kovuri Yamini ROLL NO. 77

 A 57 yr old male auto driver  resident of gundlasingaram came to the opd with chief complaints of  • Giddiness since 4days • Inability to move his left leg. • falling to right side since 4days. • Sweating,vomitings with Sbp of 235mmhg  HISTORY  OF PRESENT ILLNESS  Patient was apparently asymptotic  2years back after that he was diagnosed with Hypertension for which took medication ,after 3 months he discontinued the medication.  4 days back he developed pain and swelling around  lateral malleolus bilaterally for which he went to a local hospital and took an injection after which he developed excessive  sweating,next day again he developed excessive sweating ,giddiness and was unable to move his left lower limb.He was Swaying to right side for which he went to local hospital and got referred  to this hospital.  HISTORY OF PAST ILLNESS  Not a known case of DM , epilepsy, Asthma, tb, CAD H/o swelling in sacral region that is in between the buttocks 5years back. H/o polyps in the nose (bi

 A 39 yrs old female farmer by occupation came to the opd with chief complaints of  • Fever since 8 days  • SOB  7 days back  HISTORY OF PRESENT ILLNESS  Pt was apparently asyptomatic 8 days back later she developed fever which is of low grade,intermittent, and not associated with  chills,rigors.  Shortness of breath  7 days back (MMRC grade 1) which was not associated with wheezing,palpitations  sweating.  C/o loose stools 6 days back which was of watery in consistency, non bloody, non foul smelling  Also complains of  chest tightness,loss of weight.  No h/o cold,cough nausea,vomiting,loss of appetite.  HISTORY  OF PAST ILLNESS  N/K/C/O Hypertension, DM,epilepsy, Asthma, tb, CAD  No h/o covid  PERSONAL HISTORY  Diet mixed  Appetite normal                   Decreased food intake  due to.                             nausea  B&b movements:  Irregular , loose stools watery in consistency ,non bloody ,non foul smelling.  Sleep adequate  Allergies : dust allergy Addictions : none FAMILY

 A 24 year old female who is a primi gravida housewife by occupation, resident of nalgonda came  to opd with the chief complaints of •  Fever since 4 days •  Suprapubic pain 4 days back • Vomitings  since 2days HISTORY OF PRESENT ILLNESS - The patient was apparently asymptotic 4 days back then She developed fever which was insidious in onset, intermittent in nature and is of high grade which was  assosiated with chills and rigors, and  subsided on medication. First she went to government hospital for antenatal checkup, after 3 days she developed fever and went to  government hospital on the same day and  diagnosed  positive for ns1 antigen (dengue positive). The doctors over there referred her to our hospital. She had a h/o  suprapubic pain after voiding 4 days back , which was of dragging type, and it has gradually decreased in its intensity, but she complains of slight bursts of pain sometimes. She also complained of vomitings - 2episodes/day immediately after consumption of food con