SUMANTH REDDY ROLLNO 112

21 year old male with altered sensorium  Pt came to casualty in state of altered sensorium with slurring of speech since yesterday Pt does hotel management and stays alone.  He was apparently asymptomatic 5 days back. He had fever 5 days back which was high grade, continuous, associated with chills and rigors. No history of cold and cough . He went to local hospital got treated but the fever did not subside. Later after a day he consumed beer, had biryani. He had 1 episode of vomiting and loose stools since 3 days. (2 days back), while he was in room suddenly he had involuntary movements of all 4 limbs associated with frothing, uprolling of eyes, post ictal confusion, he bit his lower lip  no tongue bite . He had 1 episode of vomiting at the time of involuntary movement, and loose stools.  Loose stools, foul smelling.  Since yesterday afternoon, pt was in altered sensorium , with slurred speech, and deviation of mouth. He presented to hospital on 19/09/22 and wa...

A 32yr old male was brought to casualty with c/o fever since 1 week. Headache since  5 days Generalized weakness and joint pains. HOPI : Patient was apparently asymptomatic 1 week back. Then he developed fever which is moderate to high grade, intermittent ( on and off). He visited a local  RMP and took medication. There was mild relief of symptoms. His outside reports were  PLT - 1.06 lakhs. Not a k/c/o DM, HTN, thyroid, asthma, TB, CAD and, CVA. No h/o any bleeding manifestations (malena, hemoptysis, hematemesis).  No h/o nausea and vomitings.  No h/o loose stools, burning micturition, cough.  No h/o SOB, pedal edema, bowel disturbances.  Personal history : Diet g mixed, sleep - adequate, appetite - normal., bowel and micturition - normal.  General examination :  Patient is c/c/c moderately built and nourished.  No  pallor, icterus, cysnosis, clubbing, lymphadenopathy or edema Vitals: Temp - 101F PR-81 bpm BP - 110/70 mmHg Spo2 - 9...

  52 year old female who is a farmer by occupation came to the casuality with   Chief complaints- -Shortness of breath since afternoon  -Vomitings since afternoon -Pain in Abdomen since afternoon -Discomfort in upper abdomen(Indigestion) since afternoon HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic initially then developed- Shortness of breath since afternoon(grade 2 to grade 3) According to NYHA classification  C/o Vomitings ( 3 episodes food particle as content) , which is non-bilious and non-projectile  C/o Pain in Abdomen ( diffuse type) associated with loose stools  ( 2 episodes ) which is non-blood stained and non-foul smelling C/o Dyspepsia since afternoon PAST HISTORY :  Similar complaints in the past ( was admitted in our hospital and treated 9 months back )  K/c/o DM  since 4 years on insulin (HAI -17 U -x-10U) N/ k / c /o  HTN , Asthma , Epilepsy , TB  O/E :   Patient is conscious,coherent and coop...