Jeeharika elog

Unit 3: Interns: Dr Harsha Dr Kalyan  Dr Jeeharika  Dr Sreeja Dr Archana Dr Raveen Dr Aashita Dr Aravind Dr Vamshi  Dr Hareen SR Dr Praveen Naik Dr Rakesh Biswas A 21 year man presented to the casualty with the complaints of  Vomiting since 1 week Loose stools since 2 days Pain abdomen since 2 days He studied till Intermediate 2nd year after which he started working at a local restaurant as a waiter since 1 month. He got married 1 month back.  2 years back he apparently got admitted in a local hospital for 2 days for fever with thrombocytopenia.  Since the past 1 week, he says he has been having recurrent episodes of vomiting after consuming home - made fried rice. Initially for the first 2 days, he had 4 episodes of non projectile, watery vomitings containing food, non blood tinged. The following days he had around 7-8 episodes of vomiting.  Since 2 days he has been having pain abdomen , initially it was at the umbilical region, burning type but since morning he has been having burnin

50 years old female a diabetic and hypertensive since past 12 years and is on tab Glimipride 2mg and metformin 500 mg twice daily and tablet telmisartan 40mg + cilindipine 10mg + hydrochlorthiazide 6.25 mg once daily presented to our casuality with Complaints of loss of speech since yesterday morning and according to the attenders patient has hearing difficulty also since many years ( they could not recollect the exact time) Patient was apparently asymptomatic till morning . she went to a diagnostic center in the morning to give her fasting blood sample after which she came home, and had a nap after she woke up she was unable to talk, she went to shower after that , attenders have observed she couldn’t drape her saree and had weakness in right upper limb and lower limb with deviation of mouth to left .  She was taken to a near by consultant where her BP was 190/90 mmhg and GRB 370 mg/dL They have given medication for her hypertension , and advised for MRI Brain and was referred to our

Unit 3 admission:  Interns: Dr Archana Dr Sreeja Dr Harsha  Dr Kalyan  Dr Sahithi  Dr Jeeharika Dr Raveen PGY1 Dr Aashita PGY2 Dr Aravind PGY3 Dr Vamshi PGY3 Dr Hareen SR Dr Praveen Naik - Ass. prof 27 year old man electrician by occupation  He presented with complaints of fever since one week ,loose stool since one week, vomitings since one week, pain abdomen since 1 week Patient was apparently asymptomatic one week back after which he attended a function and had chicken biryani after which he developed vomitings and loose stools 4 episodes each and loose stools 4 episodes for 2 days, the vomitings were watery containing food contents with no blood, loose stools were watery, large volume of around 4 episodes, the patient also gives a history of fever with the with evening rise of temperature and subsided on medication, he was admitted on suspecting food poisoning and was discharged on not improving He received fluids and Inj Metrogyl outside  Now he presented to us with pain abdomen i

  60 year man presented with complaints of  Dyspnea at rest since 15 days Bilateral pedal edema since 10 days upto knees Facial puffiness since 1 week Patient works as a tailor at a local village. He has been consuming Zarda since the last 20years he stopped ten years back and alcohol intake since 20 years stopped in 2003  and resumed in 2011. He was diagnosed on routine investigations to be a diabetic and was using medication on and off and is a known case of hypertension since 10 years and was on irregular medication and has been using regularly for the past 4 to 5 years.  He has been experiencing Dyspneic and palpitations since the last 10 years.   Patient noticed bilateral pedal edema extending up to ankle pitting type, 2 years back. For which he paid a visit to our hospital and was told that he had kidney failure and was started on maintainence oral medications.  He also complains of tingling sensation upto the ankles since 1 year. Slippage of footwear since 1 year He one day de