med blog

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 l3 with stress urinary incontinence for evaluation  H/o wt gain +, L

Degree of freedom  r-1×c-1 Coefficient of correlation significant association or not Ht for wt of boys in classroom is correlation Presition  In case of extreme values median is best way to measure central tendency NNT=1/ARR Degree of relation between 2set of numbers is given by correlation coefficient  Dinner fork deformity in children  is called madelung deformity 1  Cleft lift and soft palate repaired before speech starts ie 3 to 6 months 2  Child with pneumonia with pneumatocele following Rx diagnosis  STAPHYLOCOCAL PNEUMONIA  200 petrol just below red 45012kms Saturday mrng 3 WHEN AUNTY NOT CAME  MY ROOMMATE S WENT OUTSIDE  THEY EVEN NOT ASK ME WHAT DID I EAT🤔🤔☠☠☠☠ WHAT DOES IT MEAN  ARE THEY NOT WORRIED ABOUT ME  THEN WHY SHOULD I CARE THEM,AND WHY SHOULD I THINK ABOUT THEM DON'T ADJUST FOR ANYONE  BE AS YOU ARE 🤘🤘🤘LETS START THE GAME ☠☠☠☠ Om varasidhim klim sakthi ganapathi namaha Add saffron in next month budget Eikenella in human bites osteomyelites Simple cap means e

Soma ram reddy nyt duty Sai kiran  Priyanka  Sneha  Chandana Sanjay

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 , clubbing, lympadenopaty  Pedal edema + upto knee Temperature 

Qp   Qs ratio in 2 d See ecg of asd Tenofovir lamividine atazanavir  ritonavir Ritonavir booster is recommended  for all except nelfinavir All protease inhibotors are associated with metabolic syndrome except atazanavir Prion diseases die within 21 days  Jc virus Pericarditis cat scratch murmer st elevetion irrespective of blood supply branches pain radiation in b/w shoulders Serum amylase lipase half lifes????? Growth hormone deficiency  evaluation????? Midaz  Glyco Ondan for post op vomitings pre oply Bcg ulcer suspect immunodeficiency disease  Bcg adenitis

30 yr male with C/O pain abdomen since 3 days  Vomiting since 3days  Fever since 2days  Decreased urine output since 2 days  Patient was apparently asymptomatic 3days back then he developed pain in epigastrium and left hemichondrium,colicky type,non radiating ,no aggravating and relieving factors Associated with vomitings since 3 days 5-6 episodes per day watery immediately after food intake non bilious nonon blood stained No h/o loose stools C/O fever since 2 days,high grade intermittent ,not associated wirh with chills and rigor No h/o cough ,cold,chest pain,sob ,pedal edema C/O decreased urine output and high coloured urine since 2 days Patient got admitted in local hospital in view of pain andomen and and vomiting and was referred here in view of decreased urine output  Not a k/c/o HTN  DM TB asthma CAD  After 2 days of admission his bp raised to 170 /90 from then he is having intermittent high bp He is chronic alcoholic since 6 yrs he has binge intake of alcohol 3 days back No sig