Vavilikolanu Sowmya

A 40 year old female, resident of Bachupalli, whose occupation is to water plants in a nursery, came with the chief complaints of: 1. Giddiness since 1 day The patient was apparently asymptomatic 6 years ago when she noticed that she had lost some weight. Additionally, she had 2-3 episodes of nausea within a week and hence consulted a doctor. Upon investigation, she was found to have gallstones. The doctor advised against surgery at that time, and hence, she was given medication (what medication?). She continued to take these tablets for 2 years. 4 years ago, the patient suddenly developed right sided loin pain, which was radiating towards the back, persistent in nature, and not associated with fever, nausea, burning micturition, hematuria or pedal edema. The pain lasted for 10 days after which she consulted a doctor. Initially, she was given medication for a week for the same and asked to follow up after one week. However, her symptoms did not subside. Hence, one week later, she went ...

A 72 year old female home maker since 10-15 years (farmer by occupation), resident of Narammagudem, came to casuality in a drowsy state. Daily routine : Patient was a farmer by occupation, but presently she discontinued working and is a homemaker. She gets up at 7:00 am in the morning, finishes her chores, has lunch at around 1:00 pm and takes rest, gets up and continues her daily activities, sleeps by 10:00 pm History of present illness :  Patient was apparently asymptomatic 10 years back ,then patient had h/o fall for which she went to local hospital where she got diagnosed with Diabetes mellitus and since then she is on OHA medication (glim m2) 4 years back she had h/o fall and went to hospital and got diagnosed with HTN.  1 session of dialysis was done (indication/cause unknown) 1 month back she developed hypoglycaemia, secondary to OHA’s ,which was resolved later. Patient had h/o fall 4 days back ,diagnosed as intertrochanteric fracture of femur of right leg, which was op...