SUMANTH REDDY ROLLNO 112

47 M came with chief complaints   -Fever since 2 days  -vomiting since 2 days -pain in  abdomen since  2 days  -Burning micturition since 2 days HOPI: patient was apparently asymptomatic 2 days ago, then he developed fever which is ,intermitent, associated with chills and rigor,relieved on medication, - vomiting from 2 days, food as content,non -projectile,3 episodes / day -pain in  abdomen from 2 days, pricking type,non radiating,in right hypochondrium - burning micturition from 2 days -uprolling of eyes,stiffness of both upper limbs yesterday  PAST HISTORY: K/C/O epilepsy 15 years ago, 3 episodes  N/k/C/O Diabetes mellitus,asthma,tb H/O fracture of left lower limb 15 years ago and operated  PRESENT HISTORY: Appetite -Nornal Diet-Mixed Sleep-Adequate Bladder habits-regular Bowel habits-regular Addiction:used to binge alcohol 15 years ago ,then after drinks occasionally GENERAL EXAMINATION: patient is conscious, coherent, co-operative,well oriented to time,place, person No pallor,icter

80yr old male came to the OPD with chief complaints of: Fever since 10days Burning micturition since 1day Decrease urine output since 1day Pain in left loin region since 1day Shortness of breath HOPI: Patient was apparently asymptomatic 10days back then he developed fever which is high grade , intermittent which is not associated with cold/cough/chills and rigors which subsided on taking medication. Later he developed burning micturition, pain abdomen ( left loin region) which is non radiating and dragging and decreased urine output with dark yellow coloured urine since 1day. He had a sudden episode of diminished mentation associated with spontaneous micturition yesterday PAST HISTORY:- K/c/o hypertension since 1 year N/k/c/o DM, TB, Asthma, Thyroid disorder, Epilepsy. H/o kidney infection 4 years back which relieved on treatment (similar  loin pain- may be pyelonephritis - complained hematuria and burning micturition) H/o trauma to Right Lower end of tibia- fracture, malunion FAMILY H