Posts

Showing posts from August, 2022

A 23 year old female with low platelet count

Image
 A 23 year old female resident of Miryalguda home maker by occupation came with chief complaints of fever since 11 days. HOPI  Patient was apparently asymptomatic 7 days back. Then she developed fever since 7 days which was high grade intermittent and associated with chills and rigor She went to a local hospital and took medication and the fever subsided. Then after 3 days she again had fever for which she came our hospital and widal test was done and it was negative . She also done the test at local hospital and it was positive for dengue and they visited a hospital in Nalgonda and was told her platelet count was low and then they went to Osmania hospital because of some personal problem they came our hospital on 14/08/2022 PAST HISTORY No similar complaints in the past Not a known case of Diabetes Hypertension Asthma TB Epilepsy History of hypothyroidism during third pregnancy and it bacame normal after delivery History of Tubectomy and LSCS 3 months back  FAMILY HISTOR...

A 16 year oldgirl with loose stools

Image
 A 16 year old girl resident of gouraram who is a student came with complaints of loose stools since 2 days 6/08/2022 HOPI  Patient was apparently asymptomatic 1 yr back Then she developed yellowish discoloration of eyes and fever for which she came to our hospital and diagnosed with jaundice. During that time itself she was told that her haemoglobin was low and need blood transfusion 5 packets of blood was transfused.After transfusion her haemoglobin increased and again decreased and she was diagnosed with autoimmune haemolytic Anemia and common variable  immune disorder  Then now on Thursday (4/08/2022) she consumed some outside food (Manchuria) and started developing loose stools There were 10 episodes per day and the stools were watery and bilious and not associated with blood in stools She also had fever which was high grade associated with chills and subsided after taking there were 2 episodes of fever one on Thursday night and other on Friday morning No histor...

A 65 year old male with decreased urine output

Image
 A 65 year old male resident of Bhongir who was farmer by occupation came with chief complaints of deceased urine output since 15 days and facial puffiness bilateral pedal edema since 15 days HOPI  Patient was apparently asymptomatic 3 years back. Then a road accident occurred and got injured on his left thorax for which he took medication and diagnosed with hypertension Then 1 yr back he had wound and it was not healing for which he went to aRMP doctor and was diagnosed with Diabetes mellitus for which he is on OHA. He also had puffiness of face on and off since 1 year for which he visits the rmp and takes medication Then now since 15  days he had decreased urine output (1 or 2 drops) and facial puffiness since 15 days   He also had bilateral pedal edema (pitting) since 15 days and abdominal distension 5 days back he had an episode of vomiting and shortness of breath (grade 1) when he visited the AIIMS bhongir. Then on 5 /08/2022 he came  our hospital PERS...