sanjana Reddy sathu

CHIEF COMPLAINTS  A 61 year old female came to the op with the chief complaints of cold , cough and fever since 10 days HISTORY OF PRESENTING ILLNESS: She has cold and cough since 10 days , it was insidious in onset and gradually progressive . The cough was of productive type , white colour sputum. She has fever since 10 days ,insidious in onset and gradually progressive . Fever was of high grade type , continuous and relieved on medication . Fever was associated with chills and rigor , body pains ,neck pain and head ache .  PAST HISTORY :  A known case of hypertension since 5 years , she is currently on medication .  No history of TB, epilepsy,asthma, CAD,CVD, thyroid .  PERSONAL HISTORY : Mixed diet , normal appetite , disturbed sleep, normal bowel and bladder movements .  GENERAL EXAMINATION: She was conscious, coherent , moderately built and moderately nourished .  No pallor , icterus , cyanosis ,clubbing , lymphadenopathy, edema . Temp : afebrile   Bp:120/80 mm hg  PR : 84  RR:14

​ Chief complaints : A 23 year old male patient came to the op with the chief complaint of pain over the left eye since 2 months  HOPI: The patient has pain over the left eye ( frontal bone ) , it is dragging type of blunt pain . It is  aggrevating on lying  in supine postion ,it is occasionally associated with head ache ,and it is relieved by itself. This pain caused slight drooping of left eye , patient had a slight swelling over the eye , signs of  tenderness was present . Past history : the patient had a bike accident ,due to which he had suffered a crake on the left frontal bone over the eye . No history of HTN,diabetes,TB,epilepsy,CAD,CVD,asthma.  Personal history: mixed diet, adequate appetite, adequate sleep,normal bowel and bladder movements , and the  patient is an alcoholic . General examination: the patient was conscious and coherent , moderately nourished and built .  Pallor was present . No icterus ,cyanosis , clubbing, lymphadenopathy, edema  RR:16 bpm  PR:60 BP:120/80 m

​ A 50 year  old female patient  came to the op with a chief complaints of cold and cough  since 15 days ,fever since 4 days , and difficulty in breathing  since last night  History of presenting  illness:  The patient  had cold and cough since 15 days , they were insidious  in onset and gradually progressive , cough was of occasionally productive  type , there are no aggregating  factors but relieved  on medications ( ciritizine) . The fever is a high grade type  , intermittent relieved on medication (paracetamol  ), and was associated  with body pains especially  lower back and legs , nausea , chills and rigor . The patient had difficulty  in breathing since last night which was aggrevating on lying in supine  position  and slightly  relieved  on walking .No history of vomitings . Past history  :  No history of HTN, diabetes ,epilepsy ,CAD,CVD,thyoid issues,asthama . She has varicose veins  Personal  history  ;  Mixed diet  Reduced appetite  Disturbed sleep  Foul smelling urine  No b