Posts

60M ALTERED SENSORIUM, ACUTE CVA, PARAXIAL AF WITH FVR, AKI ON CKD, RENAL ANAEMIA, HIGH SAAG LOW PROTEIN ASCITES

Image
PRESENTING COMPLAINTS  PATIENT CAME WITH C/O.SLURRING OF SPERCH SINCE 3 DAYS ABDOMINAL DISTENSION SINCE 3 DAYS DECREASED URINE OUTPUT SINCE 2 DAYS HISTORY OF PRESENTING COMPLAINTS : PATIENT WAS APPARENTLY NORMAL 8 DAYS AGO, THEN HE DEVELOPED LOOSE STOOLS 3-4 EPISODES PER DAY. PATIENT WENT TO OUT SIDE HOSPITAL AND TREATED THERE. SINCE 3 DAYS PATIENT HAD DEVELOPED SLURRING OF SPEECH AND WHICH IS INSIDIOUS IN ONSET AND GRADUALLY PROGESSIVE. ABDOMINAL DISTENSION SINCE 3DAYS SUDDEN IN ONSET FOLLOWED BY DECREASE IN URINE OUTPUT AND INVOLUNTARY MICTURITION.     PAST HISTORY: K/C/O. HYPERTENSION SINCE 3YRS, ON TAB. CILINDIPINE 10MG. OD NO H/O. DIABETES MELLITUS  NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: ON TAB. CILINDIPINE 10MG.SINCE 3 YRS PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder - decrease in urine output  Bowel - constipation Sleep - adequate  Alcohol - Regular 90ml/day stopped 20yrs back ...
Read more

63 MALE WITH SEPTIC SHOCK, CARDIOGENIC SHOCK, PERSISTENT AF WITH FVR, HFMEF NCNC ANAEMIA 2ry TO BLOOD LOSS, UTI, B/L PLEURAL EFFUSION, GRADE-4 BEDSORE, S/P D11-D12 LAMINECTOMY WITH PARAPERASIS

Image
PRESENTING COMPLAINTS :  PATIENT CAME WITH C/O.DIFFICULTY IN SWALLOWING AND SHORTNESS OF BREATH SINCE TODAY MORNING  HISTORY OF PRESENTING COMPLAINTS : PATIENT WAS APPARENTLY NORMAL YESTERDAY, SUDDENLY HAD DIFFICULTY IN SWALLOWING ASSOCIATED WITH DROOLING OF SALIVA AND DIFFICULTY IN SPEECH. SHORTNESS OF BREATH SINCE MORNING SUDDEN IN ONSET GRADUALLY PROGESSIVE FROM GRADE-3 TO GRADE-4. H/O.FALL AT HOME 20 DAYS BACK AT HOME FOLLOWED BY WEAKNESS OF BOTH LOWER LIMBS AND LAMINECTOMY DONE AT OUT SIDE HOSPITAL, THEY DIAGNOSED D11 WEDGE COMPRESSION FRACTURE, FRACTURE MULTIPLE RIBS WITH HEMOTHORAX WITH ATRIAL FIBRILLATION. PAST HISTORY: NO H/O. HYPERTENSION  NO H/O. DIABETES MELLITUS  NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: NO PREVIOUS HISTORY OF MEDICATIONS  PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder and Bowel - constipation Sleep - adequate  Alcohol - Regular 90ml/day sin...
Read more

84 MALE , COMMUNITY ACQUIRED PNEUMONIA , TYPE- ll RESPIRATORY FAILURE, PARAXYSMAL AF WITH FVR , HFMEF (EF-45,%) , K/C/O.BRONCHIAL ASTHAMA

Image
PRESENTING COMPLAINTS: 84 YEARS MALE PATIENT C/O.SHORTNESS OF BREATH SINCE MORNING  FEVER SINCE 5 DAYS.  HISTORY OF PRESENTING COMPLAINTS : The patient was apparently asymptomatic before  3yrs gradually he had shortness of breath on and off, which is of GRADE -ll NYHA and sinc morning he had sudden onset of severe shortness of breath associated with minimal exertion.  fever since  5 days associated with chills and rigor intermittent and High grade .   Cough with sputum since 5days whitish in colour, copious in amount. PAST HISTORY: NO H/O. HYPERTENSION  NO H/O. DIABETES MELLITUS  NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: NO PREVIOUS HISTORY OF MEDICATIONS  PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder and Bowel - Regular  Sleep - adequate  Alcohol - Regular 90ml/day since 20yrs Smokes 1pack/day since 20yrs  No drug addictions  FAM...
Read more