Himaja

  74 male from jalalpuram came with complaints of sob and chest pain since 3 days  Patient was born and brought up in jalalpuram,lived along with parents and 3 siblings,studies till 9th standard,no health issues in childhood, discontinued education and entered carpenter work at 16 yrs of age. He got married at age of 21 years and had 3 sons and 1 daughter and lead a relatively healthy life, Patient remained asymptomatic till 14 years ago then he developed tingling sensation and weakness of limbs intermittently for which he went to local hospital and was diagnosed of having high blood pressures around 200/100 and was started on anti hypertensives,he was continuing medication and his bp was under control and remained asymptomatics until 7 yrs ago, At that time he had h/o burning micturition along with pain and dribbling of urine ,he went to local hospital for that and was diagnosed of having prostatic carcinoma and resection of tumor was done at that time and also used medication for 2 y

  48 year female born and bought up in thopicherla to a family of 6 members including four siblings , mother and father. achieved normal milestones. Childhood was pleasant. Father used to do pottery. When I asked how much is the income of her father and that people only buy mud pots only during summer, how would family earn money in other seasons- patient answered that summer is a great business deal for us, but there are many other occasions like temple room,weddings, funerals etc where people use mud pots .  Her teacher is a male and alcoholic who used to beat kids, in fear of that she stopped going to school. At age 9 patient had pain abdomen which was diagnosed as appendicitis and underwent appendectomy  She lost her father 15 years ago due to old age. Mother is now older than 100 years bedridden stays at her elder sister home Later she lost her elder brother due to cancer at Osmania General hospital At age 18 patient attained menarche, in the same year she was married and moved to

  60 year female born and bought up in lower socioeconomic class with two sisters. Milestones achieved normal.She is an illiterate and childhood was pleasant.Patient parents are farmers, she used to engage in daily wage labour work from Childhood. At age 18 she had consanguineous marriage, married to her brother in law. After marriage she has two abortions during her gestations. ?placenta abruptio. Third pregnancy was stillbirth. She had her fourth pregnancy , healthy baby boy was born. She raised and educated her son all by herself. 15 years ago she had pedal edema and decreased urine output, went to RMP and regularly took injections after which her urine output became normal. But once she wasn’t relieved with her symptoms and consulted doctor , found out her right kidney is small/shrunken and was advised for renal transplantation. Because of financial issues she did not undergo transplantation. Two years later she lost her mother due to old age. Three years after her mother Demise sh