Himaja

  Thankyou anahita A 65 year old female, resident of west bengal and belonging to middle class according to modified kuppuswamy scale presented to the general medicine OPD with chief complaints of: -continuous dribbling of urine since the past 4 years - constipation since past 3 years. - shortness of breath since 3 years.   HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 26 years ago , when she developed: *  continuous dull aching pain in both the knee joints , which was exaggerated in the mornings and was bearable throughout the day, it was aggravated on walking and relieved on rest, associated with redness around the knees - N/H/O trauma - N/H/O fever with evening rise of temperature, cosmetic deformity(varicosity, skin discoloration) - later as the disease progressed she underwent bilateral knee replacement surgery in the year 2015. *  continuous dribbling of urine  since 4 years, which was insidious in onset with a few drops during the day and gradually progressed t

  70 year male was bought to Casuality in an intubated state HOPI: Pt is apparently asymptomatic until  2 days ago then he developed sudden onset of abdominal discomfort  and SOB after dinner. Patient was taken to nearby hospital in altered sensorium and was found Grbs-30 mg/dl . patient was intubated i/v/o poor GCS-5/15 and was bought to our hospital for further management with ET tube in situ PAST HISTORY: H/O Right inguinal surgery on 15/09/23 K/c/o hypertension since 12 yrs( on unknown medication) K/c/o Pulmonary Tuberculosis 30 years back( used ATT for 6 months) PERSONAL HISTORY: DIET :mixed APPETITE : Normal SLEEP: adequate  BOWEL AND BLADDER :Regular  Addictions : Patient was an Alcoholic and smoker 30 years ; stopped after diagnosed with Tuberculosis. FAMILY HISTORY:  N/K/C/O DM, Hypertension,Epilepsy, Asthma, Thyroid disorders. GENERAL EXAMINATION: Patient is on Mechanical ventilation. Dilated neck veins present. No Pallor,Icterus,clubbing,cynosis. VITALS: TEMP: 97.2 F BP: 160