K. Prem sai pavan kumar

  Case History and Clinical Findings PATIENT WAS BROUGHT TO THE CASUALITY IN AN UNCONSCIOUS STATE .PATIENT WAS APPARENTLY NORMAL UNTIL 9PM YESTERDAY NIGHT , THEN HE SUDDENLY WENT INTO THE STATE OF UNCONSCIOUSNESS AFTER EATING FOOD , NOT ASSOCIATED WITH VOMITING , SEIZURES,CHEST PIAN , PALPITATIONS , INVOLUNTARY MICTURITION , FROATHING FROM MOUTH .NO H/O FALL , TRAUMA TO HEAD,GIDDINESS ,FEVER , BURNING MICTURITION. PAST HISTORY:K/C/O DM SINCE 20YEARS AND ON T.GLIMI M1 NO H/O HTN/EPILEPSY/TB/CVD/CAD   H/O TRAUMA TO RIGHT LOWER LIMB FOR WHICH TIMELY INTERVENTION WAS DONE AT A LOCAL HOSPITAL , BUT STILL GANGRENOUS GREAT TOE + PERSONAL HISTORY : APPETITE - NORMAL DIET - MIXED BOWEL AND BLADDER - REGULAR SLEEP - ADEQUATE GENERAL EXAMINATION : PT IS C/C/C NO PALLOR, ICTERUS,CYANOSIS,CLUBBING,LYMPHEDENOPATHY,PEDAL EDEMA VITALS ON ADMISSION: TEMP- 98.5 PR-90 BPM BP- 160/90MM HG RR-16 CPM SPO2- 100% AT RA GRBS - 33 MG/DL SYSTEMIC EXAMI...

    Case History and Clinical Findings CHIEF COMPLAINTS: C/O SHIVERING SINCE MORNING C/O SWEATING SINCE MORNING HOPI:   PATIENT WAS APPARENTLY ASYMPTOMATIC 4 MONTHS BACK THEN SHE HAD SWEATING, BREIF LOSS OF CONSCIOUSNESS AND WENT TO LOCAL HOSPITAL DIAGNOSED WITH HYPOGLYCEMIC EPISODE. SHE HAD SIMILAR TWO EPISODES IN THE MIDNIGHT 1 DAY BACK. SHE WAS BROUGHT TO OUR HOSPITAL FOR FURTHER MANAGEMENT. PAST HISTORY: H/O SIMILAR EPISODE IN THE PAST 4 MONTHS BACK. K/C/O DM SINCE 5 YEARS (ON GLIMI M1) NOT A K/C/O HTN, EPILEPSY, TB, ASTHMA, THYROID. GENERAL EXAMINATION: PATIENT IS CONSCIOUS, COHERENT AND COOPERATIVE. NO PALLOR, ICTERUS, CYANOSIS, CLUBBING, LYMPHADENOPATHY. EDEMA OF FEET PRESENT. VITALS AT ADMISSION: TEMPERATURE: AFEBRILE PR:112BPM RR:24CPM BP:180/110MMHG SPO2:100% GRBS:38MG/DL SYSTEMIC EXAMINATION: CVS: S1 S2 PRESENT NO MURMURS RESPIRATORY SYSTEM: NORAML VESICULAR BREATH SOUNDS HEARD PER ABDOMEN: SHAPE OF ABD...

    Case History and Clinical Findings CHIEF COMPLAINTS-   GENERALISED WEAKNESS SINCE 1 WEEK COUGH SINCE 4 DAYS INVOLUNTARY MOVEMENTS OF LT UPPER LIMB SINCE 1 DAY HOPI- PT WAS APPARENTLY ASYMPTOMATIC 1 WEEK AGO THEN SHE DEVELOPED GENERALISED WEAKNESS H/O COUGH SINCE 4 DAYS ,PRODUCTIVE, SCANTY SPUTUM -WHITE TO YELLOW IN COLOUR ,NON BLOOD STAINED ,NON FOUL SMELLING H/O INVOLUNTARY MOVEMENTS OF LT UPPER LIMB SINCE 1 DAY [ TO AND FRO MOVEMENTS] H/O INADEQUATELY CONTROLLED SUGARS FROM 4 MONTHS H/O FALL ONE WEEK AGO NO H/O VOMITING ,SOB ,LOOSE STOOLS ,PAIN ABDOMEN,BURNING MICTURITION NO H/O FEVER,COLD,SORE THROAT NO HISTORY OF SPEECH ABNORMALITIES NO H/O WEAKNESS IN THE UPPER AND LOWER LIMB NO H/O LOSS OF CONSCIOUSNESS, MEMORY LOSS NO HISTORY OF ABNORMAL POSTURING H/O FALL FROM BED AND COMPLAINTS OF PAIN IN THE HIP WHICH IS GRADUALLY RESOLVING K/C/O TYPE 2 DIABETES MEL...