79M SYNCOPE HTN DM CVA

79M lost his father during his childhood and had been taken care by his elder siblings who also took care of his education. Took degree from polytechnic AIEEE. Built two houses by age 27.At age 28 he got married and had two children( one son and daughter).

His life was smooth until 2000 when he experienced financial crisis through chit fund. His wife was stressed about it and had Brain stroke which took her life away after 5 days. After the loss of his wife he felt lonely and started consuming alcohol which he later stopped.

His elder son did not marry as to take care of the patient. Both stay in their own home taking care of each other. 10 years ago he suddenly had left upper and lower limb weakness, diagnosed with CVA. During the same time he also was found out to be hypertensive and diabetic. He also had hearing difficulties from same time.

Two months ago patients son had to travel to Hyderabad for work purpose, so he put the house for sale. For patient it was an emotional encounter as he built the house by himself and do not want to sell it, so he turns off the offers and send away people who come to enquire any house details

Three days ago patient had sudden onset of giddiness followed by loss of consciousness for thirty minutes, without any postictal confusion, involuntary movements, bowel or bladder disturbances

Since one day patient had complains of generalised weakness and loss of appetite

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TITLE:- BIOPSYCHOSOCIAL FACTORS INFLUENCING OUTCOMES IN PATIENTS WITH ABDOMINAL OBESITY AND MULTISYSTEM COMORBIDITIES By Dr. VEMULAPALLI HIMAJA (General Medicine PG) Team Members- Dr. Rakesh Biswas(MD General Medicine), Dr.Vishwak (MD PSYCHIATRY) INTRODUCTION Abdominal obesity may be defined as excess deposits of fat in the abdominal region. It is a common health condition seen in South Asians and is positively related to non-communicable diseases (NCDs). It is independent of body mass index and measured by raised waist circumference for men≥90 cm and women≥80 cm1 Waist circumference (WC) and waist-to-hip ratio (WHR) are widely used as indirect measures of abdominal or central adiposity in epidemiological studies. Although the definition of abdominal obesity remains in dispute, the cutoffs for WC (102 cm for men, 88 cm for women) and WHR (0.95 for men, 0.88 for women) were recommended by the American Heart Association and the US Department of Agriculture2 Abdominal obesity ...

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86M HTN DM CVA ORBITAL CELLULITIS SEPSIS

86 year male born in a middle class family of 7 children, was an elder son, did not go to school and took upon family responsibility at a very young age and started fish business. He used to travel often inter country for his business. Can speak Hindi and Telugu. Childhood was pleasant, married at young age and had five sons. His parents expired due to old age. Patient started consuming alcohol (beer) during travelling occasionally and also started smoking. 16 years ago patient had complains of lower back pain and decreased urine output, went to Kamineni Hyderabad and was diagnosed as renal calculi and operated for same. Two years later he returned home from work, had dinner and went to bed. Early in the morning he felt tiredness and struggled to wake up, later he observed he had right upper and lower limb weakness and slurring of speech. Patient went to local hospital and was diagnosed as right hemiparesis . At the same time he was also diagnosed with hypertens...

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