BUTUKURI ANILA REDDY ROLLNO188

This is a case of a 45 year old male, carpenter by occupation came to OPD with chief complaints of 1. Constipation since 3 days 2. Pain in abdomen since 2days 3. Vomitings since 2 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 days ago then he developed pain in the abdomen- in epigastric region. It was sudden in onset, gradually progressive. Pain more after eating food and on lying in supine position. Pain relieved on sitting , on bending forward. -H/O 3 episodes of Vomiting yesterday after eating food, food as content, non bilious, non projectile, not blood tinged. -Constipation since 3 days No H/O fever, cough, cold, shortness of breath, loose stools, giddiness. Last binge of alcohol consumption 2days ago. PAST HISTORY: H/O similar complaints 2 years ago- diagnosed as Acute pancreatitis, treated at KIMS Narketpally Not a K/C/O DM, HTN, TB, Asthma, Epilepsy,CVA,CAD PERSONAL HISTORY: He is a carpenter by occupation Diet - mixed Appetite - normal Sleep - adeq...

  A 54yr old female home maker resident of Nalgonda came to opd with chief complaints of breathless since 10days cough since 10days ,fever since 10days ,swelling in the legs and facial puffiness since 10days and vomiting since 7days   HOPI  patient was apparently asymptomatic 10days ago the she developed shortness of breath which was insidious in onset gradually progressive in nature and aggravating on walking and relived on sitting position grade 3 according to mmrc grading  No h/o orthopneia  No h/o paraoxysmal nocturnal dyspnea  Bilateral Pedal edema since 10days which was pitting type seen near the ankles insidious in onset and gradually progressive in nature  Facial puffiness since 10days started near orbits and gradually progressed to entire face   Cough since 10days insidious in onset, gradually progressive ,productive type ,white in color,in small quantity,non foul smelling,non blood stained,with no diurnal variation,with no aggravati...