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e log 3

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53 /Y female with C/O swelling of both lower limbs ,abdominal distension , shortness of breath ,decreased urine output since 10 days  HOPI: B/L pedal edema since 10 days upto thighs ,pitting type,  progressive  initially upto ankle now progressed  upto thighs associated with abdominal distension and decreased urine output,h/o burning micturition +, C/o sob since 10 days,progressed from grade 2 to grade 4, orthopnea +, No h/o fever, cough, chest pain ,headache,,giddiness, palpitations, sweating  Pt is chronic alcoholic since 15 yrs stopped since 10 days,non smoker,h/o tightness of abdomen PAST HISTORY  Not a k/c/o htn,dm bronchial asthma, epilepsy, cad,thyroid disorders  H/O urinary stenting done 10 yrs back  PERSONAL HISTORY  Auto driver by occupation, appetite is normal, bowel movements  regular, decreased urine output since 10 days ,regular alcoholic since 15 yrs  GENERAL EXAMINATION No signs of pallor, icterus, cyanosis , clubbin...
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e log

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psmr A case of 65 yr old came with the chief  of  Vomitings since 5 days  Altered sensorium since 4 days.  Patient was apparently asymptomatic 7 months back  when he suddenly developed pain in the low back and loin region for which he went to hospital and was diagnosed with Ckd .. but was only on maintainance medication since  7 months and  SINCE 1 month patient had history of intermittent head ache , FEVER  intermittent, which was low grade , no evening rise of temperature ,not associated  with chills rigors . Headache was not associated with blurring of vision and diplopia .No history of ,giddiness ,photophobia and phono phobia . Pt even has history of ? CAD , was on medication since 6 months . Since 10 days patient had h/o loss of appetite and generalised weakness. H/o vomittings since 5 days , 5-6 episodes/day, non bilious,non- blood stained, not associated  with pain abdomen, loose stools, immediately after food intake. So patient g...
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Patient name  p laxmi Op number:20201025657 55 yr old p3l3 came with complaints of lower back pain since 10 days Pain from back radiating to groin dragging type of pain,associated with burning micturition and hematuria H/o dysparunia +,white discharge +,vomitings +,constipation + H/o myomectomy 3 yrs back No h/o postcoital bleeding Menstrual h/o: Aom 12 yrs 5/30 regular No clots  No pain Menopause   2 yrs back Marietal h/o: ML  31 yrs 2 nd degree consanguinous marriage  Obs h/o P1l1  male /30 yrs/ftnvd/3kgs P2l2 male / 29 yrs /ftnvd/3 kgs P3l3 female /28 yrs/Ftnvd/3kgs General examination  Ht 150 cms Wt 60 kgs  Bmi 26.7 Temp afebrile  Pulse 86bpm Bp 170/120 mm hg Pallor +  No signs of  icterus ,cyanosis,clubbing,lympadenopaty,pedal edema P/A Soft ,NT ,vertical scar + P/S Blood+, yellowish discharge +,bleed on touch+ P/V  All walls of vagina is firm ,indurated,bleed on touch,opening felt?vault?cervical os 55 yr old  p3...
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