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80 FEMALE AIS WITH LEFT HWMIPLEGIA,? CADIO EMBOLIC STROKE, TYPE -1 RESPIRATORY FAILURE, ASPIRATION PNEMONIA, ATRIAL FIBRILLATION WITH FVR, PRE RENAL AKI, K/C/O.T2DM, HTN

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PRESENTING COMPLAINTS  80YRS FEMALE BROUGHT TO CASUALTY WITH H/O ALTERED SENSORIUM SINCE 2DAYS, SLURRING OF SPEECH SINCE 2 DAYS WEAKNESS OF LWFT UPPER AND LOWER LIMBS SINCE 2 DAYS  HISTORY OF PRESENTING COMPLAINTS  PATIENT WAS APPARENTLY ALRIGHT BEFORE 2 DAYS, SUDDENLY SHE HAD ALTERED SENSORIUM, PATIENT ATTENDERS BROUGHT HER TO NEAR BY HOSPITAL AND FOUND TO BE HYPOGLYCEMIC AND GOT TREATED, AND LATER FOUND TO BE HAVING WEAKNESS OF LEFT UPPER AND LOWER LIMBS AND SLURRING OF SPEECH H/O. SHORTNESS OF BREATH GRADE-III PRESENT SINCE 3 MONTHS  H/O B/L PEDAL EDEMA PRESENT SINCE 3 MONTHS  NO H/O CHEST PAIN  OR CHEST TIGHTNESS  NO H/O PALPITATIONS, PND, ORTHOPNOEA  PAST HISTORY: K/C/O. HYPERTENSION SINCE 4YRS,  K/C/O. DIABETES MELLITUS SINCE 4 YRS NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: ON TAB. VILDAGLIPTIN+METFORMIN (50+500) ,TAB. TELMA. AM SINCE 4 YEARS PERSONAL HISTORY:  Diet - mixed...
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90F CVA-ACUTE ISHEMIC STROKE WITH LEFT HEMIPERASIS, RIGHT PCA INFARCT WITH TEMPORO. OCCIPITAL AND THALAMO CAPSULAR INFARCT, PARAXYSMAL AF WITH CVR, K/C/O.HTN, T2 DM

PRESENTING COMPLAINTS  PATIENT WAS BROUGHT TO CASUALTY WITH COMPLAINTS OF WEAKNESS OF LEFT UPPER AND LOWER LIMBS SINCE 4 DAYS  HISTORY OF PRESENTING COMPLAINTS  PATIENT WAS APPARENTLY NORMAL   4 DAYS BACK SUDDENLY SHE HAD LOSS OF CONSCIOUSNESS FOR 1-2 MINUTES AND REGAINED CONSCIOUSNESS BY HER SELF AND FOLLOWED BY WEAKNESS OF LEFT UPPER AND LOWER LIMBS 
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60M ALTERED SENSORIUM, ACUTE CVA, PARAXIAL AF WITH FVR, AKI ON CKD, RENAL ANAEMIA, HIGH SAAG LOW PROTEIN ASCITES

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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 ...
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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

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

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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...
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