BANGARI LAXMI RAJ BLOG

52 year old male farmer my occupation presented to the opd with chief complaint of  Bilateral swelling in lower limbs since 3 days The patient was apparently asymptomatic 1 week back then he developed  bilateral swelling over legs since 1 week is which started near the foot and gradually progressed to the knee. It was pitting type which resolved in between and again started 3 days back. He had similar complaints in the past for which he went to a local hospital and was advised on taking salt and water restricted diet. Medication:  telmesartan for hypertension since 2 years.  Addictions :He is a chronic alcoholic and smoker. Examination : Bilateral pedal edema pitting type found till knee on general examination. Respiratory system : Bilateral air entry present and normal vesicular breath sounds heard. CVS examination : No thrills, s1 s2 heard, no murmurs. Abdomen examination : no hepatomegaly or splenomegaly. No positive findings found other than edema. Investigations : RFT Hemogram

65 year old female with fever , generalised abdominal pain and loose stools.   A 65 yr old woman, from narketpally who is house wife ,came to hospital with chief complaints of fever with chills since 8 days and pain abdomen since 6 days, loose stools since 6 days. History of presenting illness The patient was apparently asymptomatic 8 days back. Then she developed- -Fever sudden in onset,low grade,associated with chills and rigors, relieved on medication -Pain in lower abdomen 6 days ago, sudden onset continuous, cramping/dull aching type, aggravates with food intake. -Associated with  vomiting 2-3/day episodes, non bilious non projectile watery consistency. -Loose stools 6 days back multiple episodes in large volume watery, no tenesmus, no mucous or blood in stools.  -History of burning micturition since 4 days high colored urine, no froth/blood. -No hematemesis/malena. -No other complaints.  Past history : -History of diabetes type2 since 10years -History of hypertension since