Shasi Reddy

 UNIT 1  MEDICAL WARD  DOA:04/06/23 A 48 year old male farmer by occupation,resident of Nalgonda came to the opd with chief complaints of  WEAKNESS OF BOTH LOWER LIMBS SINCE 6MONTHS BURNING SENSATION OF FEET SINCE 1 MONTH HOPI:: Pateint was asymptomatic 6 months back then he developed weakness of both lower limbs which is insidious in onset and gradually progressive. Associated with burning sensation of feet and pain in the calf muscle Patient also complaint of losing footwear while walking Patient also complaints of tingling sensation in both feet but can't appreciate it became burning sensation is more Patient was able to walk on his own till I month back but since 1 month patient needs supply to walk Visited local hospital 6 months back and using treatment since then PAST HISTORY No history of diabetes, thyroid,epilepsy,asthma,CAD CVA PERSONEL HISTORY:  Diet:mixed Sleep:regular  Appetite: Normal  Bowel and Bladder Movements : Regular  Addictions::He had a history of taking alcoh

 UNIT 1  AMC CUBICAL 2 DOA:04/06/23 A 67 year old male barber by occupation,resident of miryalaguda came to the opd with chief complaints of  Shortness of breath since 1 week  Fever since 4-5 days HOPI : Pateint was asymptomatic 1 week back then he developed shortness of breath grade 2-4 aggrevating on doing work, walking and temporarily relived on medication and fever for which he went to local hospital and they gave medication but symptoms are not relieved and then they went to miryalaguda hospital for checkup and they referred to our hospital. He also had fever since 4days high grade evening raise temperature associated with chills and rigors relieved by medication and increases again. H/O decreased urine output since 6 months C/o pain abdomen on &off left lumbar region since one week C/o Vomitings 2 days back 2-3 episodes, watery,non-projectile , non-biliary with food particles as contents C/o low stools 2-3 episodes 2 days back relieved now , watery , non-mucoid , non blood st

 DOA 22/5/23 A 66 yr old female ,residence of nalgonda came to the opd with c/o  Slurring of speech since 15days Involuntary movements of right upper limb since 10days And right lower limb since 5 days She was apparently asymptomatic 15days ago then she developed swelling of tongue f/b slurring of speech , insidious in onset and gradually progressive,no aggravating and relieving factors Not associated with deviation of mouth  C/o involuntary movements of right upper and lower limb,insidious in onset and gradually progressive , aggravating on increasing sugars and decreasing with decrease in grbs levels She also c/o skin lesions over genital region since 15days Past history: K/c/o HTN since 2 years K/c/o DM since one week  She has h/o joint pains( shoulder and elbow) since 2-3 months for which she went to a local hospital and the reports shower RA FACTOR+  and was advised tab . methotrexate (on regular medication) Personal history: Diet :mixed  Appetite:normal  Bowel and bladder:regular

 62 year male pt presented with chief complaints of  -POLYURIA since 2 months  -BURNING MICTURITION since 2 months  -TINGLING AND BURNING SENSATION OF BOTH LIMBS since 2 months  -ITCHING all over the body since 2 months  -SWELLING OF B/L LOWER LIMBS since 1month -LOWER BACK ACHE since 10-15 days HISTORY OF PRESENTING ILLNESS- Pt was apparently asymptomatic 2 months back, then he developed POLYURIA which was insidious in onset and gradually progressive, associated with burning micturition and frothy type of urine, Pt also complained of increased urine frequency at nights. He developed B/L SWELLING OF LOWER LIMBS, pitting type and extending upto the knee, aggravated on walking and relieved in lying down position  He developed LOWER BACK ACHE 10-15 days back, which was non radiating type ,without any tingling sensations and relieved on lying down. PAST HISTORY: Known case of DM type 2 since 2 years. Known case of HTN since 2 years. Not a known case of EPILEPSY, TB, ASTHMA, CVA, CAD and a