August 01, 2021 CHIEF COMPLAINTS Fever since 1 week Dyspnea since 1 week Burning micturition since 1 week  Pain abdomen since 1 week HISTORY OF PRESENTING ILLNESS A 45 year man, was apparently asymptomatic 14 years back.  14 years back  during his wife's  pregnancy on routine investigations she was found to be RVD positive. On getting tested, he turned out to be RVD positive as well.  He was started on medications which he takes regularly ( not documented ), he says he takes 2 tablets at night. And his wife takes one tablet at night. On asking whether their child was also RVD positive, his wife told us that their child's test came out to be negative. HIS MEDICATIONS( PATIENT)  PATIENTS  WIFE MEDICATION 1 year back  - he experienced pain abdomen in the right lumbar region radiating to his lower back for almost a month. He went to a local hospital and was diagnosed to have a right renal calculi for which he used medications for a couple of days and was advised to consume plenty o

CHIEF COMPLAINTS Pedal edema since 3 months  Shortness of breath since 3 months[grade 2 to grade 3] Scrotal swelling since 1 month HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 3 months back then he developed b/l pedal edema(pitting type) for which he went to near by RMP and got medication Following which he had shortness of breath (grade 2 to grade 3) No c/o Orthopnea, PND, chest pain, Palpitations C/o Scrotal swelling (painless)  HISTORY OF PAST ILLNESS Not a known case of DM Not a known case of  HTN Not a known case of  Asthma Not a known case of  TB Treatment history: Not significant Personal history: Diet: Mixed  Appetite: Normal Bowel & Bladder: Regular Addictions: Alcoholic since 25 years Non-smoker Family history: Not significant General examination: NO Pallor NO icterus NO cyanosis NO clubbing NO lymphadenopathy Edema of feet: present (b/l up to knee) VITALS BP: 80/60 mm/hg PR: 98bpm, irregular SpO2: 96% on RA GRBS: 142mg% SYSTEMIC EXAMINATION CVS S1,S2

July 26, 2021 CHIEF COMPLAINTS: 📌Dyspnea on exertion since 5 days and dyspnea on rest since 2 days 📌Yellowish discoloration of eyes since 5 days 📌Vomiting since 5 days . 📌B/L pedal edema since 3 days. 📌Fever since 2 days . 📌Decreased urine output since 2 days. 📌Unable to pass stools since 2 days and hematuria since 2days. 📌 He had 10-12 episodes of vomitings with food as content non-bilious since  4 days. 📌 Non blood tinged and  developed bilateral pedal edema up to knees. 📌 He received  Inj Ceftriaxone, IV fluids, Syrup Hepamerz in the outside hospital. 📌  He later started experiencing high grade, continuous fever since the last 2 days along with decreased urine output. 📌 unable to pass stools. 📌 Because of financial issues they got discharged from that hospital and presented to our casualty at 7PM on 25/7/21 📌Altered sensorium since 1 hour before coming to hospital. 🌡   TREATMENT HISTORY :          No significant  history  🌡️PERSONAL  HISTORY :   -  Married  - Occupat

-  July 16, 2021 CHIEF COMPLAINTS:  A 48y old male came to OPD with chief complaints of B/L pedal edema  since 10 days , facial puffiness since 10 days  Itching since 1 year HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic till 1 year  Then he developed, itching which was gradual onset  It began in the right arm ,then gradually progressed on the abdomen followed by whole body for which he went to near by RMP doctor and got injection AVIL for 1 year,  H/o use of unknown drugs later was referred to one hospital and diagnosed with TINEA CORPORIS CURIS for which he was on regular medication HISTORY OF PAST ILLNESS: Known case of  Diabetes mellitus since 1 year and on T.VILDANE-H SR medication HTN since 1 year and on T.AMLONG 5mg  PERSONAL HISTORY: Marital status:  married Appetite:  normal  Diet:  mixed Bowel and bladder:  regular Addictions:  alcohol consumption occasionally (90ml) since 20 years  Allergies:  None FAMILY HISTORY: Daughter was admitted for the same complain

June 27, 2021  A 35 year old man presented to the casualty with the complaints of  Bilateral pedal edema since 1 week Dyspnea since 15 days  Abdominal distension since 2 months  History of Presenting illness A 35 year old man, who sells plants  at nalgonda tells us a detailed insight to the reason for all his problems. He says he has been married 9 years back but since the past 5 years he has been living apart from his wife and his 2 sons due to marital issues. Prior to that he used to consume alcohol occasionally but since the past 5 years he has been consuming about half to 1 bottle of whiskey everyday. 3 years back, he paid a visit to a local hospital with abdominal distension and pedal edema and he was diagnosed with chronic liver disease for which he used medications for a while and stopped. He was even diagnosed to be a diabetic back then and he started using Tab Metformin 500mg OD. 2 months back, his abdominal distension increased and his eyes became yellow after which he starte