Vavilikolanu Sowmya

A 31 year old female, who studied till degree and is a housewife by occupation   came with chief complaints of:  B/L knee pains since 2 weeks Fever on and off since 2 weeks Oral ulcers since 6 months  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years ago (March,2020) and then she developed pain in her right shoulder (she could not raise her hand above her shoulders) which was dull aching type and continuous, for which she went to an Orthopaedic and was given medication. The pain kept alternating between right and left shoulder and sometimes both simultaneously. She experienced tightness of shoulder joints on waking up and needs someone to pull her up from the bed. Her pain was relieved on medication but it kept recurring for 6 months.    After 1 month of developing shoulder pain, her proximal interphalangeal joints were swollen , which was associated with decreased function as she was not able to write properly, open bottle cap etc. She als...

CHIEF COMPLAINTS : Patient came to the hospital with the chief complaints of - fever , headache , altered sensorium. HOPI : Patient was apparently asymptomatic 5 days back,    then he developed, High grade fever which was acute in onset associated with chills , intermittent in nature, relieved on medication and was associated with  headache. Altered sensorium since 2 to 3 hours (not talking and not working properly) No history of  burning micturition,  vomiting, loose stools,  SOB,  cough ,chest pain, bleeding manifestations. PERSONAL HISTORY: Diet- mixed Appetite- Normal Sleep - adequate Bowel - regular Bladder - Normal Patient is an occasional drinker but stopped 1 month back.  PAST HISTORY : N/K/C/O DM ,HTN,BA,TB, CVA,CAD, epilepsy ADDICTIONS: No significant drug history FAMILY HISTORY  : not significant GENERAL EXAMINATION : Prior Consent was taken.  Patient is oriented to time ,place and person Poorly built and poorly nourished. Exa...