S.Deeraj kumar roll no 154

 Patient a 28 year old complains of involuntary movement of upper and lower limbs History of present illness Patient has a history of seizure on 21/12/2021     3  episodes around 3 am,7am,11am    Each episode lasting for 3-5 min Seizure association with Up rolling of eye ball Brothing from the mouth History of fever,weak back association with chills Patient has no history of decreased urine output Patient has no history of pedal edema Patient urine has ,heamaturia, frothy urine History of shortness of breath from 10  days              grade two- three History of past illness Patient is a known case of CKD who's on maintenance dailysis discontinued from 19/10/2021 Patient is a known case of hypertension Diabetes-no Hypertension present -. Asthma absent Tuberculosis absent  No . exposure to radiation Personal history Occupation works in cloth store  Unmarried Appetite-lost Diet-Mixed Regular bowel and bla...

 Chief complaints A 78 year old Male patient came to opd with chief complaints of shortness of breath since 30 days History of present illness: Patient was apparently asymptomatic 4 yr back and then he developed right leg swelling(filariasis) not taken any medication 3yrs patient had history of trauma to left leg (internal fixtures )  since one month patient complaints of breathlessness (grade 3) insidious in onset gradually progressive aggrevated on walking and no seasonal variation.  15days back patient had decreased urinary out put for which urethral stiture dialation done one week back  H/o orthopnea since 3 days H/o weight loss from 2 week  H/o dry cough since 4 days  No h/o fever No H/o burning micurition   H/o urgency to urination, increased frequency of urination. No H/o adequate sleep(OSA?) 6months back he has localized biilateral swelling on of legs Exertional sob Past HISTORY: He has no history of hypertension and diabetes  No h/o as...