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70 FEMALE, HFPEF, PARAXYSMAL AF WITH FVR, K/C/O. HTN

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1. COMPLAINTS AND DURATION c/o pedal edema :: 10 day c/o shortness of breath :: 10 day 2. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10 days ago, then he had c/o pedal edema :: 1 day, which was insidious onset, gradually progressive from ankle to below knee, pitting type, aggravated on prolonged standing and sitting. c/o shortness of breath :: 1 day, insidious onset, progressed from grade I to grade II (NYHA), (SOB on walking) No c/o cough, palpitations, chest pain, abdominal pain. No c/o vomiting, loose stools, burning micturition, blood in urine output, facial puffiness. c/o constipation :: yes, passage of hard stools once in 3–4 days, non-bloody, straining, no pain while defecation. c/o tingling sensation in B/L foot and hand :: 4 days 3. HISTORY OF PAST ILLNESS k/c/o HTN :: 4 months (T. TAB ATENOLOL 25mg p/o) Not k/c/o T2DM, asthma, CVA, CAD  Here is the transcribed text from the image: 4. TREATMENT HISTORY 4.1 Diabetes - No / Yes, Details: ...
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61 MALE, HYPOGLYCEMIA 2ry TO OHA, HFMEF, PRE RENAL AKI ON CKD, PERSISTENT AF WITH FVR, K/C/O.OSA, HTN, T2 DM

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1. COMPLAINTS AND DURATION 61 y/MALE H/O altered sensorium since ~5 AM (today) Insidious; associated with profuse sweating & delayed response; gradually progressive. H/O trauma to L foot d/t RTA 1 month ago for which treatment was taken @ outside hospital. @ time of visit pt GRBS 79 mg/dL → sugar syrup given @ casualty 50 mL. [? “2 p/s connected” — unclear marginal note] 2. HISTORY OF PRESENT ILLNESS No H/O fever, cough, cold. No H/O chest pain, palpitations, orthopnea, PND. No H/O headache, dizziness, blurring of vision. 3. HISTORY OF PAST ILLNESS No H/O pain abdomen, burning micturition, nausea, vomiting. K/C/O T2DM + on T. [Glimi-M1 / Glimepiride1+Metformin500] PO BD since 1 month. HTN + since 1 year. OSA + ON home O₂  4 yrs back – A/F C VR  Rx: Diltiazem 30 mg, Bisoprolol 5 mg PO OD  T. Acebrophylline + Acetylcysteine 100/600 mg PO BD. T. Apixaban 5 mg PO BD. T. Dytor Plus 10/25 PO OD. 4. TREATMENT HISTORY 1 Diabetes - Yes, details: 1 yea...
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65F, CKD ON MHD, AF WITH FVR, ANAEMIA OF CHRONIC DISEASE ,HFPEF(EF-( 59), K/C/O HYPERTENSION SINCE 5 YEARS.

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PRESENTING COMPLAINTS : SWELLING OF BOTH LOWER LIMBS SINCE 1 MONTH  DIFFICULTY IN BREATHING SINCE 1 MONTH  FEVER SINCE 1 WEEKs HISTORY OF PRESENTING COMPLAINTS: PATIENT WAS APPARENTLY ASYMPTOMATIC BEFORE 1 MONTH, GRADUALLY HAD SWELLING OF BOTH LOWER LIMB WHICH IS PROGRESSED FROM GRADE-3 TO GRADE-4. DIFFICULTY IN BREATHING SINCE 1 MONTH, WHICH IS PROGRESSED FROM GRADE-3 TO GRADE-4 FEVER HIGH GRADE CONTINUOUS ASSOCIATED WITH CHILLS AND RIGORS. PAST HISTORY:  H/O SIMILAR COMPLAINTS PRESENT 4 DAYS BACK DURING DIALYSIS K/C/O HYPERTENSION SINCE 5 YEARS N/K/C/O. TB, ASTHMA, EPILEPSY, THYROID DISORDERS. TREATMENT HISTORY: ON TAB.NICARDIA 10 mg, BD,  TAB. ARKAMINE 0.1 MG. PO. BD. PERSONAL HISTORY:  Diet - mixed  Appetite - decreased Bladder - decreased urine output Bowel - regular Sleep - inadequate .No h/o Alcohol intake No h/o.Smoking No drug addictions  FAMILY HISTORY: No H/O HTN/DM/TB/ASTHMA/EPILEPSY/CAD/ THYROID DISORDERS in the fam...
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80 FEMALE, SEPSIS WITH MODS, B/L ACUTE PYELONEPHRITIS, COMMUNITY ACQUIRED PNEMONIA, ATRIAL FIBRILLATION WITH FVR, K/C/O HYPERTENSION, DIABETES MELLITUS, P/H/O.CA.CERVIX

PRESENTING COMPLAINTS : PATIENT WAS BROUGHT TO CASUALTY FROM OUTSIDE HOSPITAL WITH C/O.FEVER SINCE 10 DAYS, BURNING MICTURITION SINCE 10 DAYS HISTORY OF PRESENTING COMPLAINTS : PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN SHE DEVELOPED HIGH GRADE FEVER NOT ASSOCIATED WITH CHILLS AND RIGORS, INTERMITTENT RELIEVED ON MEDICATION. H/O.VOMITINGS 2-3 EPISODES /DAY, NON BILIOUS, NON BLOOD STAINED  NO H h/o HTN, on unknown medication k/c/o T2DM, on unknown medication p/h/o Cervical Cancer (15 yrs ago) s/p Radiotherapy, Brachytherapy & Chemo
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65 YEARS MALE WITH RIGHT INDIRECT INGUINAL HERNIA, ACUTE ISHEMIC STROKE WITH RIGHT HEMIPERASIS, ATRIAL FIBRILLATION WITH CONTROLLED VENTRICULAR RATE /C/O HTN, T2DM.

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 CHIEF COMPLAINTS : SWELLING IN RIGHT INGUINOSCROTAL REGION SINCE 4 MONTHS  HISTORY OF PRESENTING COMPLAINTS : PATIENT WAS APPARENTLY NORMAL BEFORE 4 MONTHS, SUDDENLY HE DEVELOPED SWELLING IN RIGHT INGUINOSCROTAL REGION INITIALLY IT IS 3×2 cm, GRADUALLY PROGRSSED TO PRESENT SIZE  NO H/O FEVER, COUGH, COLD NO H/O VOMITINGS, DIARRHOEA, CONSTIPATION  NO H/O BURNING OR DIFFICULTY IN MICTURITION. PAST HISTORY : NO H/O SIMILAR COMPLAINTS IN THE PAST H/O APPENDICECTOMY DONE 20 YEARS AGO  K/C/O HYPERTENSION, DIABETES MELLITUS SINCE 5 MONTHS N/K/C/O. TB, ASTHMA, EPILEPSY, THYROID DISORDERS. TREATMENT HISTORY: ON TAB.TELMA 40 mg, OD, TAB. GLIMI. M1 OD SINCE 5 MONTHS PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder - normal Bowel - regular Sleep - adequate  . No h/o Alcohol intake No h/o.Smoking No drug addictions  FAMILY HISTORY: No H/O HTN/DM/TB/ASTHMA/EPILEPSY/CAD/THYROID DISORDERS in the family. PROVISIONAL DIAGNOSIS  RIGHT INDI...
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