Sri Nithya

 M. Sri Nithya Roll. No- 86 Unit-2 20 year old male B Pharmcy student presented to the OPD with the complains of fever since 6 days, generalized weakness and bodypains 4 days ago , black coloured stools since 4 days HOPI Patient was apparently asymptomatic 6 days ago then he developed fever High grade, associated with chills and rigors, more during nights, relieved with mediation. Generalized weakness and body pains 4 days ago now subsided  Black coloured stools since 4 days No history of cough, cold , shortness of breath, vomiting, loose stools , bleeding from mouth, pain abdomen. Not a known case of HTN DM CAD thyroid or seizure disorder Family H/o - not significant On general physical examination - PATIENT is conscious, coherent, cooperative There is no pallor, icterus, cyanosis, clubbing, lymphadenopathy, edema Family history - not significant On general examination - PATIENT is conscious, coherent, cooperative Well orientated to time, place and person Vitals PR:82/min Sup...

  18 year old female came to casuality on 3/1/23 With chief complaints of Sob since 2days feversince 1 week,, Pain and swelling in the perianal region since 10 days   HOPI: The patient was apparently asymptomatic 9 years ago  Course of events: 9 years ago: She had polyuria,polydipsia,polyphagia weakness and weight loss due to which she visited a local hospital and there her grbs was high and  was diagnosed to be having diabetes and started on insulin  injection and was using since then? Inj mixtard 20U - x- 15U. In between due to raised sugar levels she developed abdominal pain and consulted a doctor where they advised fluids and high dose of insulin  1 week ago:  Patient had swelling over Anal verge a which was initially 1x 1cms and progressed to the present size of 4x4 cms associated with discharge of pus and mixed with blood, associated with High grade fever associated with chills and rigor for which she consulted local doctor and prescribed antibio...