D.Kavya Manjoosha

  August 15, 2021 A 44 YEAR OLD MALE PATIENT WITH JAUNDICE  A 44year Old male patient,engineer by occupation came to the opd with the chief complaints of  -bilateral pedal Edema since 20 days extending upto the knees -yellowish discolouration of sclera and skin since 20days -vomitings since 1week for about 2-3 episodes a day  History of presenting illness- Patient  was apparently asymptomatic 20 days back and then gradually developed  Bilateral pedal edema putting type extending upto knees since 20days along with yellowish discolouration of sclera and skin since 20days. Patient gives a history of yellowish discolouration of sclera since 1year which developed Gradually and resolved on Tab.UDILIV and Tab.LIV-52mg He has been experiencing 2-3episodes of non-projectile vomitings with food as content,non-bilious,non-blood stained vomitings since 1week . No h/o pain abdomen, abdominal distension , Malena ,loose stools , fever Treatment history  • Yellowish discolouration of sclera since 1yr

    60 YEARS OLD FEMALE     PATIENT WITH HISTORY OF          BURNING MICTURAITION CASE: DATE OF ADMISSION:02/08/2021 60 years old female resident of Hyderabad presented to the opd with chief complaint of burning micturaition since two weeks. HISTORY OF PRESENT ILLNESS: patient was apparently asympotmatic 14 days back then she developed low backache,followed by fever ,chills, with raised bp levels and developed  generalised weakness with burning micturaition. PAST HISTORY: she is having similar complaint every 6months since 6 years History of hysterectomy surgery No history of epilepsy,pedal edema Having DM since 25yrs   PERSONAL HISTORY: Appetite-less Diet-mixed No addictions Bowel and bladder movements-normal FAMILY HISTORY: No history of similar complaints in family  TREATMENT HISTORY: No history of  drug allergy. GENERAL EXAMINATIONS: Patient is coherent ,conscience and cooperative pallor-positive No icterus No  cyanosis No clubbing,lymphadenopathy Temp- BP-110/80 mm of Hg PR-95 BPM