09 sanvith anga

  NAME : A Sanvith ROLL NO : 09 HELLO EVERYONE THIS IS SANVITH FROM 5th SEMESTER, THANK YOU FOR VISITING MY BLOG PAGE. QUESTION A 61year old female casual labour by occupation came to Casuality with the chief complaints of loin pain, burning micturition, odeama, abdominal distension. HISTORY OF PRESENT ILLNESS Patient was asymptomatic 1year back and started burning micturition, loin pain HISTORY OF PAST ILLNESS She is N/k/c/o DM, hypertension, CAD, asthama, epilepsy. PERSONAL HISTORY Loss of appetite  Decreased urine output Irregular bowel movements Weakness Inadequate sleep FAMILY HISTORY Not significant  GENERAL EXAMINATION  PHYSICAL EXAMINATION   No pallor  No icterus No cyanosis  No clubbing of fingers No lymphadenopathy  Presence of odeama (PITTING TYPE) VITALS Temperature: Afebrile Pulse rate: 82bpm Bp: 124/76 mm of Hg SYSTEMIC EXAMINATION S1, S2 heard No murmers RESPIRATORY SYSTEM  No dyspnoea No wheezing  Trachea- central Breaths...

 NAME: A Sanvith ROLL NO: 09 A CASE OF CHRONIC KIDNEY FAILURE A 62years old male patient came to the hospital with cheif complaints of nausea,loss of appetite, bilateral pedal edema since 1week. History of present illness. Patient was apparently asymptomatic 4years back then he developed weakness and pain in both lower limbs. Past history Known case oh hypertension  Not a known case of diabetes, TB, epilepsy,CAD,asthma Personal history Appetite: lost Diet : non-vegetarian  Bowel habits : irregular  Bladder habits : decreased urine output Regular alcohol consumer  Smoker  Family History No history of HTN,TB,epilepsy,asthma,CAD.   GENERAL EXAMINATION Physical examination . No pallor No icterus No cyanosis No lymphadenopathy No clubbing of fingers Moderately built and moderately nourished. Bilateral pedal odema. Vitals BP:140/70 RR:20/min Pulse rate:80/min Temp: afebrile SPO2:96% SYSTEMIC EXAMINATION CVS S1,S2 Heard No murmurs RESPIRATORY SYSTEM Dyspnea N...

NAME: A Sanvith Roll No: 09  Introduction -  Patient aged 28years was bought to casuality with h/o giddiness and headache and decreased reaponsivness. -History of ratpoison consumption 4days back and discharged back. Chief complaints -Pt has h/o zinc posphide poisoning on 3rd june 2022 and pt was admitted on 3rd june and was treated conservatively and was discharged on 6th june. -Pt was normal on 6th and 7th june. HISTORY OF PRESENT ILLNESS • On 8th june Pt had headache and decreased appetite and 1 episode  of fever, no chills  -Then pt went to bed and had history of difficulty in speech and altered behaviour. -No h/o of seizures and vomitings,focal neurological defecit. HISTORY OF PAST ILLNESS  •NO H/O fever, pain abdomen, vomitngs, abdomen distension, pedal edema. PERSONAL HISTORY • Mixed diet   Appetite Normal • Sleep adequate • Bowel and Bladder movements regular. TREATMENT HISTORY    • Not k/c/o diabetes, HT, CAD , asthma, TB. •NO H/O chemo /...

 

 NAME: A SANVITH  ROLL NO: 09 A 55 year old male came to the opd for dialysis. CHIEF COMPLAINTS : swelling of abdomen and swelling of lower limbs. HISTORY OF PRESENT ILLNESS : Patient was asymptomatic 3months back and later he developed swelling of lower limbs, and he came to opd with swelling of abdomen also. 1 month back he came to opd and investigations shown his serum creatinine levels as 5.3mgldl. He has been on medication ever since. HISTORY OF PAST ILLNESS : Not a k/c/o Diabetes mellitus, CAD, ASTHMA, TB, EPILEPSY, Burning micturition. FAMILY HISTORY:  No significant. PROVISIONAL DIAGNOSIS : Chronic renal failure secondary to nephrotic syndrome with HTN. Image of abdomen IMAGE OF LOWER LIMBS INVESTIGATIONS: SERUM CREATININE SERUM ELECTROLYTES ULTRASOUND ECG RADIOLOGY