KammampatiUharollno65

A 64 yr old male  resident of chotuppal came with chief complaints of pain in the  loin, vomiting and burning micturition since one month HOPI                                                                       Patient was apparently asymptomatic 15 yrs back.Then he developed pain in the right loin and was diagnosed with renal calculi(bladder calculi)  and was operated and then 3 yrs later again he developed bilateral loin pain and was diagnosed with bilateral renal calculi (ureteric calculi) and was operated with a gap of one month . Then 3 yrs later he developed a midline swelling approx 3 cm below umbilicus and diagnosed with  hernia and a mesh was placed. Then 1 yr later he developed abdominal pain and endoscopy was done and diagnosed with peptic ulcer and was managed conservatively During this he was diagnosed with diabetes and hypertension Then 2 yrs back he developed generalized weakness and went to hospital and was told that haemoglobin was low and was given iron injections.

  A 55yr old female resident of thondlai came with chief complaints of fever , yellowish discoloration of eyes since 20 days. generalized weakness and dizziness 3 days . HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 20 days back and then she developed fever which was intermittent (4 or 5 times since 20 days) and evening rise of temperature was seen for which she took paracetamol and it subsided .fever was not associated with chills and rigors. She also had yellowish discoloration of eyes and urine since 20 days . She also complains of burning micturition. she came to our hospital on and was asked to get admitted but due to financial problems their family denied it. Treatment advised was- tab Udiliv 300mg BD, Tab Dolo 650mg sos, continue antihypertensive and anti diabetic medications. And then she took herbal medicines every monday for 2 weeks and stopped anti diabetic and anti hypertensive medications completely since 1 week(when she started taking herbal medication