Greeshma

Name: A. Greeshma  Roll no : 148 Introduction:   65yrs old male came to gen medicine department with chief complaints of bilateral pain and swelling since 10 days , bilateral loin pain since 10 days, fever and chills since 8 days ,bilateral pain in inguinal region since  5 days ,loose stools since 3 days . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back ,then he developed complaints of  bilateral pedal edema pitty type associated with pain and redness with local rise in temperature .he also had bilateral loin pain 10 days  back later he had complaints of fever associated with chills, intermittent,no diurnal variation since 5 days ,he had complaints of pain in  bilateral inguinal region  for which with all above complaints he was taken to hospital and was diagnosed as AKI on CKD  with bilateral lower limb cellulitis , he also had loose stools 3 days back  watery not associated with blood   which resolved now . HISTORY OF PAST ILLNESS: History of blood urine

Name: A. Greeshma  Roll no : 148 Introduction:   40 yr old female came to gen medicine department with chief complaints of fever since 3 days , cold since 4days complaints of cough with sputum , body pains since 3 days , headache since 3days, nausea since 1 day,vomiting since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4 days back. Then she was developed cold and fever which is high grade and intermittent , associated with chills and rigor  relieve on taking medication ,cough since 4 days which is productive and mucoid in colour and scanty amount . Body pains since 3 days  and  headache since 3days . Nausea since 1day and vomiting since 1 day with 3 episodes , non projectile, non bilious , food as content.       She went to RMP and took  unknown medication  but her symptoms were not come down so she came to kims hospital and she was admitted.  Past illness: No h/o burning micturition , chest pain ,Short ness of breath ,  abdominal pain , dark coloured stools