Posts

70/m difficulty in walking

 PAPAIAH 70/M  C/O DIFFICULTY IN WALKING SINCE 3 WEEKS POOR STREAM OF URINE SINCE 3 WEEKS BURNING MICTURITION AND FEVER SINCE 2 WEEKS HISTORY OF PRESENTING ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 1 YEAR BACK AFTER WHICH HE HAD DEVELOPED SUDDEN ONSET WEAKNESS OF LEFT HAND AND LEG WITH UNCONTROLLED BLOOD PRESSURE AND WAS DIAGNOSED WITH CVA AND TREATED. FROM THE HE GRADUALLY STARTED WALKING WITH THE HELP OF A WALKER .NOW SINCE 2 WEEKS PATIENT AGAIN STARTED DEVELOPING LEFT SIDED WEAKNESS WITH DIFFICULTY IN GETTING UP AND WALKING HE ALSO HAD DECREASED URINE OUTPUT , RIGHT LOIN PAIN WITH BURNING MICTURITION FOR WHICH HE WAS INVESTIGATED AND FOUND TO HAVE RIGHT URETERIC CALICULI CAUSING SEVERE HYDROURETRONEPHROSIS HISTORY OF FEVER ON AND OFF FOR WHICH HE IS ON IREEGULAR MEDICATION SINCE 2 MONTHS PAST HISTORY - K/C/O HTN SINCE 1 YEAR( ON IRREGULAR MEDICATION) N/K/C/O DM, SEIZURE DISORDER ,TB,ASTHMA, PERSONAL- DIET MIXED DECREASED APPETITE CHRONIC SMOKER AND  OCCASIONAL ALCOHOLIC GENERAL EX
Post a Comment
Read more

55 MALE, WITH RECURRENT CVA

N ANJAIAH Case History and Clinical Findings C/O WEAKNESS OF LEFT UPPER AND LOWER LIMB , DEVIATION OF MOUTH TO RIGHT SIDE SINCE MORNING SLURRING OF SPEECH PRESENT SINCE MORNING HOPI: PATIENT WAS APPARENTLY ALRIGHT TILL TODATY MORNING ,THEN HE DEVOLOPED WEAKNESS OF LEFT UPPER AND LOWER LIMB,INSIDIOUS IN ONSET ,GRADUALLY PROGRESSIVE ASSOCIATED WITH DEVIATION OF MOUTH TO RIGHT SIDE,SLURRING OF SPEECH PRESENT SINCE MORNING NO H/O TRAUMA HEAD ,NAUSEA ,VOMITING , SCIZURES ,GIDDINESS NO H/O FEVER,COLD ,COUGH NO H/O CHEST PAIN,PALPITATIONS ,PND,ORTHOPNEA,BREATHLESSNESS NO H/O ABDOMINAL PAIN,BURNING MICTURITION , PAST H/O : K/C/O HTN ON T METXL 75MG PO.OD SINCE 3 YRS K/C/O CVA LEFT HEMIPARESIS 10 YRS BACK GENERAL EXAMINATION : PT IS CONCIOUS , COHERENT AND COOPERATIVE , MODERATLY BUILT AND NOURISHED . NO PALLOR, ICTERUS , CYANOSIS, CLUBBING ,LYMPHADENOPATHY, EDEMA TEMP - AFEBRILE PR- 60 BPM RR-19 CPM BP- 130/80 MMHG GRBS -123MG /DL SYSTEMIC EXAMINATION : CVS - S1,S2 HEARD , NO MURMURS RS - VESI
Post a Comment
Read more

60/f difficulty in speech

 NAGENDRAMMA CHIEF COMPLAINTS :  PATIENT CAME WITH CHIEF COMPLAINTS OF LOSS OF SPEECH SINCE 3 DAYS. HISTORY OF PRESENTING ILLNESS :  PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS THEN SHE DEVELOPED LOSS OF SPEECH AND DIFFICULTY IN SWALLOWING , WHILE OBEYING COMMANDS. PATIENT HAD SIMILAR COMPLAINTS IN PAST 2 MONTHS AGO WITH RIGHT UPPER LIMB PLEGIA WITH SWALLOWING DIFFICULTY AND LOSS OF SPEECH FOR WHICH SHE WAS TAKEN TO LOCAL HOSPITAL AND WAS DIAGNOSED AS ISCHEMIC CVA (CHRONIC INFARCTION IN RIGHT HIGH FRONTOTEMPORAL REGION). NO C/O FEVER, VOMITIMG, HEADACHE, LOOSE STOOLS, BURNING MICTURITION. NO C/O CHEST PAIN,PALPITATIONS,SOB. PAST HISTORY: K/C/O HYPERTENSION SINCE 4YEARS (ON TAB TELMA 40 MG PO/OD). NOT A K/C/O DM,CAD,CVA,EPILEPSY,TB,ASTHMA. PERSONAL HISTORY: DIET: MIXED  SLEEP: ADEQUATE BOWEL AND BLADDER MOVEMENTS: NORMAL ALCOHOL: NO SMOKING: REGULAR SMOKER SINCE 35 YEARS AROUND 1 CHUTTA PACKET/DAY. LAST SMOKE WAS 1 WEEK AGO GENERAL EXAMINATION: THE PATIENT IS CONSCIOUS, COHERENT, COOPERA
Post a Comment
Read more

93y/male ,Aspiration pneumonia and acute ischemic stroke

  chief complaints- C/O RIGHT UPPER AND LOWER WEAKNESS SINCE MORNING ON 16/04/24 AND SLURRING OF SPEECH SINCE MORNING ON 16/04/24 HOPI: PT WAS APPARENTLY ASYMPTOMATIC 1 DAY BACK THEN HE DEVELOPED RIGHT UPPER LIMB AND L0WER LIMB WEAKNESS SINCE MORNING ON 16/04/24 . SUDDEN ONSET NOT A/W INVOLUNTARY MOVEMENTS ,NO FROTHING FROM MOUTH, INVOLUNTARY MICTURITION,INVOLUNTARY DEFECATION C/O, SLURRING OF SPEECH SINCE MORNING ON 16/04/24 AND DEVIATION OF MOUTH TO LEFT SIDE NO H/O FEVER COUGH,COLD, ALLERGIES NO H/O ABDOMINAL PAIN, NAUSEA, VOMITING,LOOSE STOOLS. NO H/O CHEST PAIN PALPITATIONS,SOB,SWEATING NO H/O PEDAL EDEMA,DECREASED URINE OUTPUT K/C/O HTN SINCE 25 YRS AND IS ON TAB.AMLODIPINE 5 MG+TAB.TELMISARTAN 40 MG+TAB.HYDROCHLORTHIAZIDE 12.5MG OD K/C/O BRONCHIAL ASTHMA SINCE 25 YRS AND IS ON INHALER FORMONIDE 1 PUFF [SOS] PAST HISTORY N/K/C/O TB,DM2,EPILEPSY,CVD,CAD ON EXAMINATION: PT IS CONSCIOUS,COHERENT,COOPERATIVE NO PALLOR ,ICTERUS,CYANOSIS,CLUBBING,LYMPHADENOPATHY,PEDAL EDEMA TEMP: AFEBR
Post a Comment
Read more

59F chronic pancreatitis , Dm ( 3c)

57 year old female gardener resides near Sanghi ( hayathnagar) Presented with C/o fever since 3 days, high grade, continuous, with chills, relieved with medication,  pain in epigastrium since 3days, non radiating, not associated with burning, belching, associated with  one episode of vomiting, with food content, non bilious, non projectile, non blood stain No h/o chest pain, breathlessness, giddiness, palpitations, orthopnea,pnd,cough, cold, burning micturition, loose stools She's second born child ,whose father was toddy tree climber and has daily habit of consumption of toddy. She was made to start toddy consumption at very young age of 4-5years considering it to be good for health And consumes daily 1glass of toddy thrice everyday for 15 years  Works as farmer from age of 22 years at chittaluru near chitiyal ,Married and moved to hyderabad near seethaphalmandi. Stopped consuming toddy after marriage  And stopped working for some time after her marriage. At age of 23 years- pati
Post a Comment
Read more

70 MALE , CHRONIC ALCOHOLIC WITH RECUURENT CVA

 LAKYA Case History and Clinical Findings C/O SLURRING OF SPEECH SINCE 10 DAYS DIMINISION OF VISION VISION SINCE 10 DAYS HOPI: PT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN HE DEVELOPED SUDDEN ONSET OF SLURRING OF SPEECH, NO H/O DEVIATION OF MOUTH H/O DIMINISION OF VISION , SUDDEN IN ONSET NO H/O WEAKNESS OF LIMBS, INVOLUNTARY MOVEMENTS H/O 1 EPISODE OF GIDDINESS 10 DAYS BACK AFTER WHICH THESE SYMPTOMS STARTED. NO H/O LOC, BITING OF TONGUE, INVOLUNTARY PASSAGE OF STOOLS, URINE NO H/O NAUSEA, VOMITING, HEADACHE. PAST HISTORY: K/C/O CVA 6 YEARS BACK, USED MEDICATION FOR 2 MONTHS(ECOSPRIN AV) N/K/C/O HTN DM CAD SEIZURES THYROID DISORDERS. SURGERIES- NEPHROLITHIASIS 20 YEARS BACK ON EXAMINATION: PATIENT IS CONSCIOUS COHERENT AND COOPERATIVE CLUBBING + NO PALLOR, CYANOSIS, ICTERUS, LYMPHADENOPATHY, PEDAL EDEMA TEMP 100.8F PR 90BPM RR 18CPM SPO2 96% BP 110/70MM HG CNS- GCS:E4V4M6 HMF -COULDNT BE ELICITED SPEECH - PUPILS: ANISOCORIA RT LT POWER : UL 5/5 5/5 LL 5/5 5/5 TONE: UL N N LL: N N
Post a Comment
Read more

58y male with AIS (Left front parietal insular cortex)

 SOKKAM CHIEF COMPLAINTS: PATIENT WAS BROUGHT WITH COMPLAINTS OF FEVER SINCE 3 DAYS AND WEAKNESS OF RIGHT UPPER LIMB AND LOWER LIMB SINCE 31/08/23 AFTERNOON 3PM. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO.HE THEN DEVELOPED FEVER OF HIGH GRADE WITH CHILLS AND RIGOR ,RELIEVED WITH MEDICATION.NO DIURNAL OR SEASONAL VARIATION.HE THEN DEVELOPED WEAKNESS AND UNABLE TO MOVE RIGHT UPPER LIMB AND LOWER LIMB SINCE 6 HOURS SUDDEN ONSET,WHILE TAKING BATH,N/H/O FALL,H/O ?LOSS OF CONSCIOUSNESS FOR 5 MINUTES N/H/O INVOLUNTARY MOVEMENTS IN BILATERAL UPPER AND LOWER LIMB,UPROLLING OF EYEBALL,TONGUE BITE N/H/O BLURRING OF VISION DEVIATION OF ANGLE OF MOUTH TO HIS LEFT SIDE SLURRING OF SPEECH PRESENT LAST BINGE OF ALCOHOL 2 DAYS AGO PAST HISTORY: N/H/O COUGH,BURNING MICTURITION,SOB,PALPITATIONS,PEDAL EDEMA N/K/C/O HTN/DM/CAD N/H/O VOMITINGS,LOOSE STOOLS,PAIN ABDOMEN PERSONAL HISTORY: DIET: MIXED  SLEEP: ADEQUATE BOWEL AND BLADDER MOVEMENTS: NORMAL ALCOHOL: REGULAR DRINKER SINCE 25 YEARS AROUND
Post a Comment
Read more