28 Chikatla Laharisha

A 75 yr old male patient who is resident of nalgonda labourer by occupation came to our hospital for eye surgery  CHIEF COMPLAINTS: Loss of vision-left eye Itching all over th body HISTORY OF PRESENTING ILLNESS:  Patient has loss of vision in his left eye since one yr..he has itching all over the body since two months. HISTORY OF PAST ILLNESS: Patient was apparently asymptomatic 10 years back.Later,he developed deformities in his lower limbs(resorption and clawing of all the toes).he also lost all his senses(pain ,touch, temperature, vibration).he had hyperflexion of DIPJ nd hyperextension of PIPJ since 2-3 months .There is burning sensation allover his body. FAMILY HISTORY:     No history of DM HTN EPILEPSY asthma cardiovascular disease in his family PERSONAL HISTORY:  Mixed diet Married Normal bowel and bladder movements Abnormal sleep patterns No addictions GENERAL EXAMINATION: PHYSICAL EXAMINATION: No pallor  No icterus No cyanosis No lymphadenopathy No pedal edema Wasting of muscl

CH.LAHARISHA ROLL NO.28 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input A 76yr old male came to OPD with the chief complaints of eye pain and blurred vision. CHIEF COMPLAINTS: Pain in the right eye and blurred vision  Knee pains occassionally Epigastric pain    HISTORY OF PRESENTING ILLNESS:  Patient was apparently asymptomatic 1 yr back then he started developing right eye pain ,left eye has no problems and blurred vision.he used to get knee pains occassionally for one year for which he used medications .he developed epigastric pain four months back . HISTORY OF PAST ILLNESS:  Not a k/c/o of DM ,HTN EPILEPSY,TB, CARDIOVASCULAR DISEASES,asthma  He used medication for k

CHIKATLA LAHARISHA ,ROLL NO 28 A 70 yr old female was brought by his son to the opd with the complaints of shortness of breath and bilateral pedal edema chief complaints: shortness of breath since one week bilateral pedal edema  since five days decreased urine output HISTORY OF PRESENTING ILLNESS: patient was apparently normal 5-6 years back.then she developed low grade fever on and off with generalised weakness and went to healthcare and diagnosed with diabetes. one month back she had loose stools in small quantity3-4 episodes per day for 1-2 days . since one week she deveolped shortness of breath initially on exertion but now at rest.bilateral pedema initially on ankle then generalised;facial puffiness and decreased urine output HISTORY OF PAST ILLNESS history of diabetes:5-6 yrs no history of hypertension,tb,epilepsy FAMILY HISTORY: Not a k/c/o asthma,tb.epilepsy.htn PERSONAL HISTORY: married occupation:daily wage labourer diet:mixed appetite:low bowel and bladder movements are abno

 A male pt aged 50yrs a resident of Miryalguda  farmer by occupation was brought  to OPD by his son in law. Cheif complaints           Shortness of breath            Burning micturition           Headache            Throat pain  History of present illness   H/o shortness of breath since 1 yr H/o headache since 20days( occipital region) H/o neck pain since 1 yr. H/o throat pain since 4days(pricking type) History of past illness No H/o DM,Tb, Epilepsy,CKD, cardiovascular accidents. Cerebrovascular accident 25 yrs back. H/o previous medication (joint pains, headache,neck pain, shortness of breath) No H/o previous hospitalization. Family History His mother has Sob Personal History Married Occupation-farmer Appetite-normal Diet-mixed Sleeping habits:He has sleep alterations due to painsand discomfort. Bowel- regular Micturition- burning No H/o allergy Addictions- he smokes but stopped 2 yrs back.He smokes 4-5 cigerettes per day.He smoked for 40 yrs. Physical examination General Examination