K.Sai likhitha 2018

 Date of admission :24/06/21   A 28 year old male who works as a private employee in shopping mall.he admitted with acute weakness and urine output decrease since 5 months .  Cheif complaint: Patient was asymptomatic till April this year .       Patient was admitted with decrease output and got diagnosed as acute glomerular nephritis.  A 4 sessions of hemodialysis are done later got admitted on ckd on mhd . Then 10 session hemodialysis done. History of present illness   Weight loss since 1mon . Decrease in appetite.  Visited golbule hospital where they said he had renal problem. History of past illnesses:    There are no similar complaints in the past. Hypertension is present.  No diabetes mellitus.  No asthma  No TB No epilepsy  No previous surgery    Personal history:       Diet:mixed     Appetite:normal Bowel:normal    Bladder:normal  Occasional alchohol habbit .no smoking habit.  Family history:    There are no similar complaints in family.    Drug history:   No allergy to known dr

 Date of admission:15/08/2021 Cheif complaint:  A 50 years old women who is a daily wage worker came to causality with cheif complaint of sob since 3months,pedal edema and decreased urine output since one year  History of present illnesses:   Patient was apparently asymptomatic 1year back then developed pedal edema which was gradually progressive and associated with sob with decreased urine out put. Past history:  No similar complaints in the past . No diabetes.  Hypertension is present  No asthma  No TB No blood transfusions  No history of surgery in past  No epilepsy      Personal history:   Diet:abnormal    Appetite:normal    Bowel :regular    Bladder: irregular   No addictions. Family history: No history of similar compalinents in family  Drug history  No allergy to known drugs  General examination:- Patient is conscious, cooperative and coherent Pallor is present  No cyanosis  No lymphadenopathy  No dehydration  No clubbing of fingers  Vitals: Temperature:98°f Bp:140/90 Pulse rate

Date of admission: 05/08/2021 26 year old man who is a daily wage worker came to causality with the cheif complaints of fever since 3months,cough since 2 months,dysponea on excretion since 2months   History of present illness: Patient was apparently asymptomatic 3 months back. Patient had a habit of consumption of 8 beers  after getting back home he experienced high fever. Then he went to local hospital and  on checking tempearture it was 104 °F for which he received medications for 2 days.   Since 2 months he has been experiencing cough and  dyspnoea on exertion . Associated with vomiting - 3 episodes per day, containing food particles and blood . Loss of weight since  2 months  Loss of appetite since 2 months  Dark stool since 3 weeks  Patient visited 4 hospitals but was not relieved from his symptoms .   Past history :  No h/o similar complaints in the past . No h/o Diabetes mellitus  No h/o astama No h/o hypertension No h/o tb , epilepsy Personal history:  Diet - mixed Appetite- no