General Medicine Cases

 A 60 year old man, who worked as a lorry driver, presented to the hospital with- • Pedal oedema of since 15 days, • Dyspnea since 5 days, • Fever since 5 days, • Decreased urine output since 3 days, Date of admission - 2/2/22 HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 15 days back. • Patient wakes up at 6am every morning. He has his lunch at 2pm. He sleeps in the afternoon. He has dinner at 9pm and sleeps by 10pm. •Patient is an ex lorry driver and lives a very sedentary life.  • 15 days ago, they developed pedal oedema of pitting type — which extended upto ankles. • They also presented with fever, which was continuous since 5 days. • Patient also presented with grade 4 shortness of breath since 5 days. • Vomiting of one episode which was non projectile 5 days back. • Patient also suffered with uncontrolled hemoptysis since 5 days back.  • 3 days ago, when the pt. was undergoing dialysis, the patient suffered from a cerebro vascular accident.   PAST HISTORY • The

 

 A 60 year old man, who works as a coolie, presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month back. • The patient is a retired coolie who does nothing of significance in the day. • He wakes up at 6am, roams around his village, settles disputes, and retires for the night at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness spell and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The very same day, the patient noticed an acute decrease in his urination and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was som

 A 48 year old man, who works as an auto driver, hailing from Chityala presented to the hospital with- • generalized swelling of legs since 10 days. • SOB since 7 days. ( Especially when lying down.) Date of admission - 21/11/21. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 weeks back.  • The patient usually wakes up at around 5am to 6am. • Then after washing his face and brushing his teeth, he goes out for walking for around 30 minutes. • After coming back, the patient resumes with his occupation of driving autos till 9pm with a lunch break at 12pm. • The patient has his food at 9pm and goes to bed early by 10pm. • Around 10 days back, the patient noticed swelling around his left leg while going on his morning walk. • The patient also had a general corn inbetween his 3rd and 4th toes, and attributed the swelling to perhaps being that. • The swelling then appeared on right leg, and then on his two hands all in the span of 3 days. • Later the patient noticed hi

1. Anatomical and etiologic localisation for hemiparesis and further management. 2. Etiology , pathogenesis , clinical features, management and complications of acute pancreatitis. 3. Dengue fever , clinical features and complications 4. Cushing syndrome  5. Mandibular advancement device 6) Cardiogenic Pulmonary Edema 7) Rheumatoid Arthritis 9) Cardiac Failure 10) Ascites 11) Pyrexia of Unknown Origin 12) Drug Induced Liver Injury 13) Low Back Ache Evaluation 14) Renal Artery Stenosis 15) AKI 16) Oral Hypoglycemic Agents 17) Micro and Macro vascular complications of Diabetes 19) Metabolic Acidosis 20) Iron Deficiency Anaemia