Vavilikolanu Sowmya

CHIEF COMPLAINTS: 1. Pain abdomen since 2 months  2. Fever since 2 months  HISTORY OF PRESENTING ILLNESS: Patient came to the casualty with complains of pain abdomen since five days  The patient was apparently asymptomatic 2 years back when she had white discharge PV for which she took medication but it did not resolve. She had a surgery (hysterectomy) for the same on April 26 2023. Since then the patient was having on and off episodes of pain abdomen which was of squeezing type and diffuse. It was relieved on taking medication (unknown) Since five days, the intensity of pain has increased. The pain in the hypogastric region and is of squeezing type. She also complains of pain in the left lower back region which is of squeezing type and radiates towards the groin. It is associated with vomitings (2 to 3 episodes per day, non-projectile, non-bilious, watery with food particles as contents.) The patient also complains of fever on and off since two months which is of low gra...

A 75 year old male, Farmer by occupation (stopped working 5 years ago) from Nalgonda was brought to casualty by his son in an unresponsive state and altered sensorium since 3 days. Daily routine and lifestyle: He initially used to work in band ( plays music during the functions) 15 years back His routine is active lifestyle  With all his works being done by him and rides his bike  And switched his job to farmer as he's getting aged and has to look after their farm During this period he had increased consumption of alcohol ( frequency- 3-4times/week) He was asked to stop working by his sons 2 years back as he is aging  He started staying at his sons house but used to maintain his active lifestyle by doing household chores ,getting groceries,cleans and maintains nearby dargah  HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 10 years ago, when he had a h/o fall and had an IT fracture for which he was managed conservatively. Patient had SOB ? Asthma 2 y...