Jeshmitha

Case History and Clinical Findings Patient came to casualty with complaints of1.abdominal distention since 10days2.B/L pedal oedema since(below knee) since 10days3.SOB on exertion since 10 days4.generalised weakness since 10 days5.decreased urine output since 10 days6.constipation since 10 daysPatient is apparently asymptomatic 4months ago and she developed fever which is insidious in onset,low grade, intermittent,no diurnal variation not associated with chills and rigor.Vomiting insidious in onset,non projectile, non bilious, less quantity,odorless,non blood stained,content is food.Then she noticed yellowish discoloration of eyes, initially noticed in eye with high coloured urine and loss of appetite.Not associated with pruritis,clay coloured stool.For which she took herbal treatment for 1 week,after which there is no improvement .Then she went to local hospital at miryalguda and tested positive for HbSAg she took treatment for 10 days and no improvement is observedThen she went to Ga...

Diagnosis CHRONIC LIVER DISEASE SECONDARY TO AUTOIMMUNE TOXIN INDUCED Case History and Clinical Findings PATIENT CAME WITH C/O ITCHING ALLOVER THE BODY SINCE 2 YRS YELLOWISH DISCOLOURATION OF EYES SINCE 2YRS  ABDOMINAL DISTENTION SINCE 3 DAYS HOPI: PATIENT IS APPARENTLY ASYMPTOMATIC 2 YRS AGO THEN SHE DEVOLOPED FEVER ,INSIDIOUS ONSET ,GRADUALLY PROGRESSIVE ASSOCIATED WITH YELLOWISH DISCOLORATION ,SINCE THEN PATIENT HAS H/O SIMILAR EPISODES ONCE IN EVERY 5-6 MONTHS AND TREATED WITH HERBAL MEDICATION BY QUAKES ,SINCE 2 YRS FOR A PEROID OF 10-15 DAYS IN EACH EPISODE H/O ITCHING ALL OVER THE BODY SINCE 2 YRS ,MOREIN NIGHTS ,NO AGGREVATING OR RELEIVING FACTORS H/O ABDOMINALDISTENTION SINCE 3 DAYS IMMEDIATELY AFTER FOOD INTAKE AND RELEIVING WITH MEDICATION ASSOCIATED WITH BELCHING + NO H/O COUGH,COLD ,BREATHLESSNESS ,ORTHOPNEA,PND NO H/O ABDOMINALPAIN,PALPITATIONS , CHEST PAIN ,BURNING MICTURITION ,NAUSEA ,VOMITING NO H/O DM,HTN,ASTHMA ,TB,EPILEPSY ,CAD,CKD,CLD NO H/O CVA GENERAL EXAMINA...

Case History and Clinical Findings C/O SOB SINCE 1 WEEK HOPI- PATIENT WAS APPARENTLY ASYMPTOMATIC 1WEEK, THEN DEVELOPED SOB, GRADE III-IV, INSIDIOUS IN ONSET AND GRADUALLY PROGRESSIVE, NO AGGRAVATING AND RELIEVING FACTORS. H/O ABDOMINAL DISTENSION SINCE 1ODAYS, INSIDIOUS, PROGRESSIVE, NO AGGRAVATING/ RELIEVING FACTORS. NO C/O CHEST PAIN, PALPITATIONS, ORTHOPNEA, PND NO C/O FEVER, DECREASED URINE OUTPUT, BURNING MICTURITION, VOMITING, LOOSE STOOLS. C/O PAIN AND SWELLING OVER THE LEFT LIMB SINCE 10DAYS. INSIDIOUS AND GRADUALLY PROGRESSIVE, FOLOOWED BY UNKOWN? INSECT BITE. K/C/O CLD AND ESOPHAGEAL BANDING DONE TWICE (1YR BACK) K/C/O T2DM SINCE 2016 AND IS ON UNKNOWN MEDICATION. NOT A K/C/O HTN, THYROID DISORDERS, EPILEPSY. H/O 3 BLOOD TRANFUSION 4DAYS BACK. COURSE IN HOSPITAL: PATEINT CAME WITHC/O SOB SINCE 1 WEEK SOB, GRADE III-IV, INSIDIOUS IN ONSET AND GRADUALLY PROGRESSIVE, NO AGGRAVATING AND RELIEVING FACTORS. C/O ABDOMINAL DISTENSION SINCE 1ODAYS, ON ADMISSION VITALS TEMP- AFEBRILE ...